Unknown Individual – Diagnostic Radiology Physician, NPI 1821009879

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Diagnostic Radiology Physician. They hold a License No. MD07826 (OR). The NPI Number for Unknown Individual is 1821009879

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821009879
Phone
(503) 619-1100
Address
PO BOX 23200
Deactivation Date
11 September 2024
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

  • 23200, Northwest Reeder Road, Portland, Multnomah County, Oregon, 97231, United States

    PORTLAND, OR 972813200

    Phone: (503) 619-1100

    Fax: (503) 619-1101

    Type: Mailing

  • Everest Consultants, 1500, Northwest Bethany Boulevard, Five Oaks/Triple Creek, Beaverton, Metro, Washington County, Oregon, 97006, United States

    100

    BEAVERTON, OR 970065208

    Phone: (503) 619-1100

    Fax: (503) 619-1101

    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)

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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 97281)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1821009879 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Portland, Oregon may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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