Unknown Individual – Psychiatry Physician, NPI 1720152200

Unknown Individual is a healthcare provider. based in The dalles, Oregon. specializing in Psychiatry Physician. They hold a License No. 5994 (OR). The NPI Number for Unknown Individual is 1720152200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720152200
Phone
(541) 296-8445
Address
4780 ADELINE WAY
Deactivation Date
3 April 2024
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

  • 4780 ADELINE WAY

    THE DALLES, OR 970587500

    Phone: (541) 296-8445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97058)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1720152200.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights The Dalles, Oregon; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DENISE MARIE DION (MD)

Psychiatry Physician
414, Washington Street, The Dalles, Wasco County, Oregon, 97058, United States
NPI: 1952478083

DANIEL E FERBER (MD)

Psychiatry Physician
419 E 7TH ST STE 207
NPI: 1073671368
2085 RUSTIN AVE STE 1
NPI: 1871735464

DR. RACHEL CAITLIN MORENZ (MD)

Psychiatry Physician
1060 WEBBER ST
NPI: 1275977472