Unknown Individual – Adult Psychiatric/Mental Health Registered Nurse, NPI 1962584540

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Adult Psychiatric/Mental Health Registered Nurse. They hold a License No. 081006826RN (OR). The NPI Number for Unknown Individual is 1962584540

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962584540
Phone
(503) 588-5828
Address
694 CHURCH ST NE
Deactivation Date
30 April 2026
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

  • 694, Church Street Northeast, Grant, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973012401

    Phone: (503) 588-5828

    Fax: (503) 588-5803

    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.

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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 97301)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1962584540.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Adult Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Salem?
Unknown Individual currently maps to Salem, Oregon in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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