Unknown Individual – Family Medicine Physician, NPI 1497738918
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 22075
MILWAUKIE, OR 972692075
Phone: (503) 659-4777
Fax: (503) 652-5223
Type: Mailing
Southeast Sunnyside Road, Damascus, Clackamas County, Oregon, 97089, United States
CLACKAMAS, OR 970159320
Phone: (503) 698-3928
Fax: (503) 698-4018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97269)
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