Unknown Individual – Family Nurse Practitioner, NPI 1669449948

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Family Nurse Practitioner. They hold a License No. 094006760N1 FNP-PP (OR). The NPI Number for Unknown Individual is 1669449948

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669449948
Phone
(503) 698-5733
Address
12002 SE SUNNYSIDE RD
Deactivation Date
5 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Rite Aid, 12002, Southeast Sunnyside Road, Happy Valley, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970158381

    Phone: (503) 698-5733

    Type: Location

  • 210, Southwest 6th Street, Battle Ground, Clark County, Washington, 98604, United States

    BATTLE GROUND, WA 986048442

    Phone: (360) 281-9744

    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 97015)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1669449948 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Clackamas, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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