Individual provider · Type 1 NPI

Nikki Lilly Soroushi

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1518890722 Active

Practice location

1750 SW Skyline Blvd Ste 201
Portland, OR 97221-2545

Call (503) 894-9630 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1518890722

Nikki Lilly Soroushi's National Provider Identifier is 1518890722, issued on Jun 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 5, 2026.