Unknown Individual – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1811991722

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Hospice and Palliative Medicine (Emergency Medicine) Physician. They hold a License No. MD14892 (OR). The NPI Number for Unknown Individual is 1811991722

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811991722
Phone
(503) 494-9000
Address
3181 SW SAM JACKSON PARK RD
Deactivation Date
11 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    OHSU

    PORTLAND, OR 972393011

    Phone: (503) 494-9000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Amgen Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$31
View all Open Payments →|Open Payments Risk Radar →

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 97239)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1811991722 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Hospice and Palliative Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Portland, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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