Unknown Individual – Adult Health Nurse Practitioner, NPI 1962869487

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Adult Health Nurse Practitioner. They hold a License No. AP60650386 (WA). The NPI Number for Unknown Individual is 1962869487

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962869487
Phone
(360) 213-0085
Address
2121 NE 139TH ST STE 360
Deactivation Date
22 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2121 NE 139TH ST STE 360

    VANCOUVER, WA 986862316

    Phone: (360) 213-0085

    Fax: (360) 213-0049

    Type: Location

  • 19260 SW 65th Ave Ste 420

    Tualatin, OR 970625712

    Phone: (503) 692-0405

    Fax: (503) 692-7978

    Type: Location

  • 2222 NW Lovejoy St Ste 606

    Portland, OR 972105104

    Phone: (503) 229-7554

    Fax: (503) 274-5400

    Type: Location

  • 24900 SE Stark St Ste 103

    Gresham, OR 970303381

    Phone: (503) 907-1101

    Fax: (503) 907-0177

    Type: Location

  • 500 N Columbia River Hwy

    Saint Helens, OR 970511299

    Phone: (503) 229-7554

    Fax: (503) 248-4666

    Type: Location

  • Northwest Naito Parkway, Chinatown, Old Town, Portland, Metro, Multnomah County, Oregon, 97240, United States

    STE 185

    PORTLAND, OR 972092535

    Phone: (971) 983-5260

    Fax: (971) 983-5326

    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.

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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 98686)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1962869487.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Vancouver, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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