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

Nicki Nabavizadeh, MD

Individual provider Pediatrics Physician · NPI 1114346442

Nicki Nabavizadeh, MD is a Pediatrics Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Phone: (503) 667-8878
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD183100 (OR)

Record details

NPI number1114346442
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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