Individual
NICKI NABAVIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
Mailing address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
813100
OR
208000000X
Pediatrics Physician
Primary
MD183100
OR
Other
Enumeration date
04/15/2014
Last updated
01/27/2026
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