Unknown Individual – Allergy & Immunology Physician, NPI 1578674909

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Allergy & Immunology Physician. They hold a License No. MD00034649 (WA). The NPI Number for Unknown Individual is 1578674909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578674909
Phone
(503) 285-9321
Address
3550 N INTERSTATE AVE
Deactivation Date
22 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3550, North Interstate Avenue, Overlook, Portland, Metro, Multnomah County, Oregon, 97227, United States

    PORTLAND, OR 972271196

    Phone: (503) 285-9321

    Type: Location

  • 6309, Southwest Flower Street, Hayhurst, Portland, Multnomah County, Oregon, 97221, United States

    PORTLAND, OR 972211071

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

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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 97227)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1578674909?
NPI 1578674909 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is Unknown Individual registered?
Use Portland, Oregon as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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