Individual provider · Type 1 NPI

Nicki Nabavizadeh, MD

Pediatrics Physician · Gresham, OR

NPI number 1114346442 Active

Practice location

25050 SE Stark St Ste 300
Gresham, OR 97030-3388

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XMD183100 (OR)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1114346442

Nicki Nabavizadeh, MD's National Provider Identifier is 1114346442, issued on Apr 15, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Gresham, OR. The record was last updated on Jan 27, 2026.