Unknown Individual – Nurse Practitioner, NPI 1790870418

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Nurse Practitioner. They hold a License No. 000035723N2 PNP-PP (OR). The NPI Number for Unknown Individual is 1790870418

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790870418
Phone
(541) 687-3271
Address
200 SILVER LN
Deactivation Date
10 April 2025
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

  • 200, Silver Lane, Santa Clara, Eugene, Lane County, Oregon, 97404, United States

    EUGENE, OR 974042216

    Phone: (541) 687-3271

    Fax: (541) 687-3896

    Type: Location

  • 2984, Maranta Street, Irving, Eugene, Lane County, Oregon, 97404, United States

    EUGENE, OR 974041821

    Phone: (541) 689-7761

    Type: Mailing

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 97404)

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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 1790870418; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Eugene, Oregon on file for Unknown Individual alongside any extra practice locations.
What if Eugene, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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