IRMA SULEJMANOVIC-BORDEAUX APRN-NP
NPI 1902238553
Nurse Practitioner - Pediatrics in Portland, OR

Active since August 06, 2013
1130 NW 22ND AVE STE 320, PORTLAND, OR 97210(503) 295-2546(503) 790-1248 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2026, Nov 19, 2018 (2 updates tracked since 2018).

About Irma Sulejmanovic-bordeaux Aprn-np NPPES

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

IRMA SULEJMANOVIC-BORDEAUX APRN-NP (NPI 1902238553) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (201901673) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1902238553
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameIRMA SULEJMANOVIC-BORDEAUXCredential: APRN-NP
Location Address1130 NW 22ND AVE STE 320Portland, OR 97210-2970
Mailing Address1130 Nw 22nd Ave Ste 320Portland, OR 97210-2970 · (503) 295-2546 · Fax (503) 790-1248
Fax(503) 790-1248
Sole ProprietorNo
Enumeration DateAugust 6, 2013
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1902238553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 201901673
1130 NW 22ND AVE STE 320, Portland, OR 97210

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Community Health Worker
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Pediatrics
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Pediatrics
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Specialist
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Counselor (Mental Health)
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Community Health Worker
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210
Pediatrics
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902238553, enumerated as an "individual" on August 06, 2013.

The provider is located at 1130 NW 22ND AVE STE 320 PORTLAND, OR 97210 and the phone number is (503) 295-2546.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.