Individual
NADIA S SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(506) 216-2621
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG230556
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2026
Last updated
05/04/2026
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