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

Nataly Raviv, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134513625

Nataly Raviv, MD is a Neurosurgery in Portland, Oregon. Graduated from Case Western University School of Dental Medicine in 2015, 11 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Oregon.

Years since qualifying
11
Trained at
Case Western University School of Dental Medicine
Licensed in
NY, OR
In the registry since
2015
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Portland, OR

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD209852 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 63642 (NY)

Record details

NPI number1134513625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESJuly 29, 2022
Certification dateJuly 7, 2022

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolCASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2015 (11 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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