Individual
NIMA NABAVIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, KPV4, PORTLAND, OR 97239-3011
(503) 494-8756
Mailing address
3181 SW SAM JACKSON PARK RD, KPV4, PORTLAND, OR 97239-3011
(503) 494-8756
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD173558
OR
Other
Enumeration date
06/06/2011
Last updated
10/08/2020
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