Unknown Individual – Internal Medicine Physician, NPI 1992773295
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15298, Southwest Royalty Parkway, Tigard Promenade, Southview, Tigard, Metro, Washington County, Oregon, 97224, United States
TIGARD, OR 972243904
Phone: (503) 620-0721
Fax: (503) 968-1181
Type: Location
1026, Northwest 8th Way, Canby, Clackamas County, Oregon, 97013, United States
CANBY, OR 970133543
Phone: (503) 651-7040
Fax: (503) 651-7041
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97224)
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