Provider Type Icon

NICKI NABAVIZADEH MD NPI 1114346442


NPI Information

NPI: 1114346442
Provider Name: NICKI NABAVIZADEH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
25050 SE STARK ST STE 300
GRESHAM, OR
ZIP 97030
Phone: (503) 667-8878
Get Directions

Nicki Nabavizadeh, MD is a pediatrics in Gresham, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Nicki Nabavizadeh, MD NPI is 1114346442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25050 SE STARK ST STE 300
GRESHAM, OR
ZIP 97030-388
Phone: (503) 667-8878

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics813100OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.