Nicki Nabavizadeh, MD - Pediatrics in Gresham, OR

Nicki Nabavizadeh, MD is a Pediatrics physician based in Gresham, Oregon. Nicki Nabavizadeh is licensed to practice in Oregon (license number 813100) and her current practice location is 25050 Se Stark St Ste 300, Gresham, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 667-8878.

NPI number for Nicki Nabavizadeh is 1114346442 and her current mailing address is 25050 Se Stark St Ste 300, Gresham, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114346442.

Contact Information

Nicki Nabavizadeh, MD
25050 Se Stark St Ste 300,
Gresham, OR 97030-3388
(503) 667-8878
Not Available



Physician's Profile

Full NameNicki Nabavizadeh
GenderFemale
SpecialityPediatrics
Location25050 Se Stark St Ste 300, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114346442
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 04/23/2019

Medical Identifiers

Medical identifiers for Nicki Nabavizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114346442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 813100 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicki Nabavizadeh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicki Nabavizadeh, MD
25050 Se Stark St Ste 300,
Gresham, OR 97030-3388

Ph: (503) 667-8878
Nicki Nabavizadeh, MD
25050 Se Stark St Ste 300,
Gresham, OR 97030-3388

Ph: (503) 667-8878

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› Verified 5 days ago


Pediatrics Doctors in Gresham, OR

Dr. Julia W Mason, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Suite 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Dr. John Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Alexander Herman Lau, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25050 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Stephanie Sari, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Mary A Egsieker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St, Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Dr. Frank Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834

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