Individual
NIKNAM NMI ESHRAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST STE 555, PORTLAND, OR 97227-2007
(503) 288-7535
(503) 288-7538
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD18913
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150227
—
OR
05
—
1649364696
—
WA
Enumeration date
10/03/2006
Last updated
12/05/2023
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