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PARSA MAHMOUDI
NPI 1104620624
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 03, 2025PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Parsa Mahmoudi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARSA MAHMOUDI (NPI 1104620624) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104620624
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePARSA MAHMOUDI
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1104620624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parsa Mahmoudi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRIS ROBERT HEDGES MD, MS, MMM
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Multnomah County (503) 494-2767
DR. BRANDON ZANE HOROWITZ M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-4833
MARY ANN BROWNING FNP
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7500
DR. MOHAMUD RAMZANALI DAYA MD, M S
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7248
DR. ALFREDO SABBAJ MD
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-1475
ROBERT G HENDRICKSON MD
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-9495
DR. JAMES CHRISTOPHER AUSTIN MD
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Multnomah County (503) 494-4808
JENNIFER R ANTICK PHD
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Multnomah County (503) 494-7353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parsa Mahmoudi's NPI number?

The NPI number for Parsa Mahmoudi is 1104620624. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Parsa Mahmoudi located?

Parsa Mahmoudi practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Parsa Mahmoudi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Parsa Mahmoudi enrolled in Medicare?

Yes. Parsa Mahmoudi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Parsa Mahmoudi was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.