Unknown Individual – Diagnostic Radiology Physician, NPI 1730299108

Unknown Individual is a healthcare provider. based in Corvallis, Oregon. specializing in Diagnostic Radiology Physician. They hold a License No. 11879 (OR). The NPI Number for Unknown Individual is 1730299108

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730299108
Phone
(541) 758-5047
Address
PO BOX 932
Deactivation Date
29 September 2022
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

  • PO BOX 932

    CORVALLIS, OR 973390932

    Phone: (541) 758-5047

    Fax: (541) 758-3713

    Type: Mailing

  • Samaritan Pacific Communities Hospital, 930, Southwest Abbey Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States

    NEWPORT, OR 973654820

    Phone: (541) 265-2244

    Fax: (541) 574-2858

    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.

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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 97339)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1730299108.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is Unknown Individual registered?
Use Corvallis, Oregon as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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