Unknown Individual – Family Medicine Physician, NPI 1750332102

Unknown Individual is a healthcare provider. based in Lake oswego, Oregon. specializing in Family Medicine Physician. They hold a License No. DO07862 (OR). The NPI Number for Unknown Individual is 1750332102

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750332102
Phone
(503) 797-2273
Address
6 CENTERPOINTE DR STE 200
Deactivation Date
23 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

  • 6 CENTERPOINTE DR STE 200

    LAKE OSWEGO, OR 970358660

    Phone: (503) 797-2273

    Fax: (503) 234-8155

    Type: Mailing

  • 1185, South Elm Street, Canby, Clackamas County, Oregon, 97013, United States of America

    CANBY, OR 97013

    Phone: (503) 723-4660

    Fax: (503) 266-6649

    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 97035)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1750332102 in the public NPI dataset.
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 is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lake Oswego, Oregon; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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