Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1871649210

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 98-04-40 (OR). The NPI Number for Unknown Individual is 1871649210

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871649210
Phone
(503) 540-7412
Address
3321 HAROLD DR NE
Deactivation Date
13 January 2021
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

  • 3321, Harold Drive Northeast, Oak Park, Salem, Marion County, Oregon, 97305, United States

    SALEM, OR 973051339

    Phone: (503) 540-7412

    Type: Location

  • 889, Plymouth Drive Northeast, Keizer, Marion County, Oregon, 97303, United States

    KEIZER, OR 973034933

    Phone: (503) 871-7536

    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.

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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 97305)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1871649210 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Salem?
Unknown Individual currently maps to Salem, Oregon in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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