Unknown Individual – Family Medicine Physician, NPI 1588610174
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 568
CORNELIUS, OR 971130568
Phone: (503) 359-5564
Type: Mailing
North 12th Avenue, Cornelius, Metro, Washington County, Oregon, 97113-8912, United States
CORNELIUS, OR 971139029
Phone: (503) 359-5564
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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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 97113)
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