Unknown Individual – Mental Health Counselor, NPI 1811128705

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Mental Health Counselor. The NPI Number for Unknown Individual is 1811128705

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811128705
Phone
(503) 954-2119
Address
6003 SE 136th Ave
Deactivation Date
12 March 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6003 SE 136th Ave

    Portland, OR 972364567

    Phone: (503) 954-2119

    Type: Location

  • Luke-Dorf, Inc., 8915, Southwest Center Street, Greenburg Road, Tigard, Metro, Washington County, Oregon, 97223, United States

    TIGARD, OR 972236307

    Phone: (503) 726-3690

    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.

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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 97236)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1811128705 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Mental Health Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Portland, Oregon?
For routing, start with Portland, Oregon for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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