Unknown Individual – Orthopedic Physical Therapist, NPI 1790852101

Unknown Individual is a healthcare provider. based in Beaverton, Oregon. specializing in Orthopedic Physical Therapist. They hold a License No. 0264 (OR). The NPI Number for Unknown Individual is 1790852101

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790852101
Phone
(503) 641-4675
Address
12600 SW CRESCENT ST
Deactivation Date
8 March 2023
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

  • Mingo, 12600, Southwest Crescent Street, Central Beaverton, Beaverton, Metro, Washington County, Oregon, 97005, United States

    313

    BEAVERTON, OR 970051693

    Phone: (503) 641-4675

    Type: Mailing

  • SOAR Immigration Legal Services, 862, Southeast Oak Street, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123-4201, United States

    2A

    HILLSBORO, OR 971234240

    Phone: (503) 844-6565

    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

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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 97005)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1790852101; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Orthopedic Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Beaverton, Oregon for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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