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NICKI NABAVIZADEH MD
NPI 1114346442
Pediatrics in Gresham, OR

Active since April 15, 2014
25050 SE STARK ST STE 300, GRESHAM, OR 97030(503) 667-8878 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Apr 23, 2019 (2 updates tracked since 2019).

About Nicki Nabavizadeh Md NPPES

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

NICKI NABAVIZADEH MD (NPI 1114346442) is an individual pediatrics provider in Gresham, Oregon, licensed in Oregon (MD183100) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1114346442
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICKI NABAVIZADEHCredential: MD
Location Address25050 SE STARK ST STE 300Gresham, OR 97030-3388
Mailing Address25050 Se Stark St Ste 300Gresham, OR 97030-3388 · (503) 667-8878
Phone(503) 667-8878
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1114346442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD183100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
25050 SE STARK ST STE 300, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 17

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

JAMIE WILLIAMS
Social Worker (Clinical)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (035) 667-8878
CHRISTINA DARAGAN MD
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
BROOKE LOWRY PA-C
Physician Assistant (Medical)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
THOMAS JEFFREY ANDERSON II M.D.
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
MARY A EGSIEKER MD
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
EMILY BURD PNP
Nurse Practitioner (Pediatrics)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
DR. METTA ELIZABETH KOHN WILLEY MD
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878
PETER R GYERKO MD
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 667-8878

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 Nicki Nabavizadeh's NPI number?

The NPI number for Nicki Nabavizadeh is 1114346442. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Nicki Nabavizadeh located?

Nicki Nabavizadeh practices at 25050 SE Stark St Ste 300, Gresham, OR 97030. The listed phone number is (503) 667-8878.

What is Nicki Nabavizadeh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Nicki Nabavizadeh accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicki Nabavizadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicki Nabavizadeh was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.