Unknown Individual – Family Nurse Practitioner, NPI 1689669103

Unknown Individual is a healthcare provider. based in Forest grove, Oregon. specializing in Family Nurse Practitioner. They hold a License No. 200750093NP (OR). The NPI Number for Unknown Individual is 1689669103

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689669103
Phone
(503) 359-4773
Address
PO BOX 189
Deactivation Date
6 August 2021
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

Provider Addresses for Unknown Individual

  • PO BOX 189

    FOREST GROVE, OR 971160189

    Phone: (503) 359-4773

    Fax: (503) 359-3809

    Type: Mailing

  • 1909 MOUNTAIN VIEW LN STE 200

    FOREST GROVE, OR 971162894

    Phone: (503) 359-4773

    Fax: (503) 359-3809

    Type: Location

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 97116)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1689669103 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Forest Grove, Oregon may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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