IndividualActive
Nicki Nabavizadeh, MD
NPI 1114346442 · Pediatrics Physician · Gresham, OR
Nicki Nabavizadeh, MD is a Pediatrics Physician provider in Gresham, OR (NPI 1114346442).
Provider details
- NPI number
- 1114346442
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD183100 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25050 Se Stark St Ste 300
Gresham, OR 97030-3388
Phone: (503) 667-8878
Street-level locationGet directions
Mailing address
25050 Se Stark St Ste 300
Gresham, OR 97030-3388
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Nicki Nabavizadeh's NPI number?
- Nicki Nabavizadeh's National Provider Identifier (NPI) is 1114346442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicki Nabavizadeh's specialty?
- Nicki Nabavizadeh is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Nicki Nabavizadeh located?
- Nicki Nabavizadeh's practice location on file with NPPES is 25050 Se Stark St Ste 300, Gresham, OR 97030-3388.
- What is Nicki Nabavizadeh's phone number?
- The practice phone number listed in the NPPES registry for Nicki Nabavizadeh is (503) 667-8878.
- Is Nicki Nabavizadeh's NPI active?
- Yes — Nicki Nabavizadeh's NPI (1114346442) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.