Unknown Individual – Case Manager/Care Coordinator, NPI 1477607067

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Case Manager/Care Coordinator. The NPI Number for Unknown Individual is 1477607067

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477607067
Phone
(503) 312-4933
Address
13834 SE HOLGATE BLVD
Deactivation Date
30 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 13834, Southeast Holgate Boulevard, Powellhurst-Gilbert, Portland, Multnomah County, Oregon, 97236, United States

    PORTLAND, OR 972363823

    Phone: (503) 312-4933

    Type: Mailing

  • 4101, Northeast Division Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970304617

    Phone: (503) 666-6575

    Fax: (503) 666-4047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97236)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1477607067 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Portland, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

MR. DUSTIN DANDLIKER (QMHA)

Case Manager/Care Coordinator
847 NE 19th Ave Ste 100
NPI: 1467498386

MS. JILLIAN SMITH

Case Manager/Care Coordinator
3216, Northeast 64th Avenue, Roseway, Rose City Park, Portland, Multnomah County, Oregon, 97213, United States
NPI: 1013945294

MS. KIM HAMILTON (RN)

Case Manager/Care Coordinator
3111, Northeast 46th Avenue, Beaumont-Wilshire, Portland, Multnomah County, Oregon, 97213, United States
NPI: 1447288576
2908, Northeast Killingsworth Street, Concordia, Portland, Metro, Multnomah County, Oregon, 97211, United States
NPI: 1508899550

SONJA LEA EATON (R.N.)

Psychiatric/Mental Health Registered Nurse
8459, Northwest Ash Street, Taylor Crest, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
NPI: 1518991660

MS. CORTNEY PINION

Case Manager/Care Coordinator
Oregon Water Sciences Center, 2130, Southwest 5th Avenue, University District, Downtown, Portland, Multnomah County, Oregon, 97201, United States
NPI: 1235155094

Providence Kodiak Mental Health

Community/Behavioral Health Agency
1818 E REZANOF DR
NPI: 1477563344

MS. JUNE AUGUSTINA (R.N.)

Adult Psychiatric/Mental Health Registered Nurse
31370 CATER RD
NPI: 1083723712