Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Willow Nicole Naimark, MD

Individual provider Addiction Psychiatry Physician · NPI 1457556367

Dr. Willow Nicole Naimark, MD is a Psychiatry in Portland, Oregon. Graduated from New York Medical College in 2006, 20 years ago. Practices with Fanno Creek Clinic LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
20
Trained at
New York Medical College
Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 SW Vermont St
Portland, OR 97219-1940
Phone: (503) 452-0915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD150365 (OR)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence MD150365 (OR)

Record details

NPI number1457556367
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2006 (20 years in practice)
Group practice Fanno Creek Clinic Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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