Individual provider · Type 1 NPI

Sophia Alexandria Rezayee, DO

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

NPI number 1992558126 Active

Practice location

1015 NW 22nd Ave
Portland, OR 97210-3025

Call (503) 413-7711 Map

Mailing address

15890 SE Misty Dr # C209
Happy Valley, OR 97086-4355

Other practice locations

  • 309 E 2nd St, Pomona, CA 91766-1854 · (909) 469-5589

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 1992558126

Sophia Alexandria Rezayee, DO's National Provider Identifier is 1992558126, issued on Apr 8, 2024. 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 Jul 6, 2026.