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

Nastaran Neishaboori

Individual provider Molecular Genetic Pathology (Pathology) Physician · NPI 1306264999

Nastaran Neishaboori is a Pathology in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Providence Health and Services - Oregon, a 191-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
22
Licensed in
CA, OR
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 893-7692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Molecular Genetic Pathology (Pathology) Physician (primary) Taxonomy 207ZP0007X · Licence A149044 (CA)
Molecular Genetic Pathology (Pathology) Physician Taxonomy 207ZP0007X · Licence MD222287 (OR)

Record details

NPI number1306264999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Providence Health And Services - Oregon — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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