Unknown Individual – Allergy & Immunology Physician, NPI 1609860774

Unknown Individual is a healthcare provider. based in Ontario, Oregon. specializing in Allergy & Immunology Physician. They hold a License No. B-8770 (ID). The NPI Number for Unknown Individual is 1609860774

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609860774
Phone
(541) 889-2244
Address
932 W IDAHO AVE
Deactivation Date
19 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:0State licenses:5Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 932, West Idaho Avenue, Ontario, Malheur County, Oregon, 97914, United States

    SUITE 100

    ONTARIO, OR 979142155

    Phone: (541) 889-2244

    Fax: (541) 889-2626

    Type: Location

  • J, Alert Road, Gloucester-Southgate, Gloucester, Ottawa, Eastern Ontario, Ontario, K1V 1S2, Canada

    ONTARIO, OR 979140020

    Phone: (541) 889-2244

    Fax: (541) 889-2626

    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 97914)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1609860774 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Allergy & Immunology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Ontario, Oregon as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.