Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1952362881

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold a License No. DO16923 (OR). The NPI Number for Unknown Individual is 1952362881

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1952362881
Phone
(503) 413-2200
Address
2801 N GANTENBEIN AVE
Deactivation Date
27 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

  • Legacy Emanuel Medical Center, 2801, North Gantenbein Avenue, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States

    ICU EAST - EMANUEL HOSPITAL

    PORTLAND, OR 972271623

    Phone: (503) 413-2200

    Fax: (503) 413-1119

    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)

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 97227)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1952362881.
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's primary classification?
Critical Care Medicine (Internal Medicine) Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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