Individual provider Active NPI

Nadeen Nazem Hajaj, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1104534338
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10052039 Issued in OR
Practice address
10300 SW Eastridge St
Portland, OR 97225-5004
Phone
(503) 944-5000
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10052039 OR Primary

Addresses

Primary practice location

10300 SW Eastridge St
Portland, OR 97225-5004

Mailing address

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112000801 OR Practitioner - Nurse Practitioner 6305322348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ubh of Oregon LLCGroup PAC ID 4981772639, 20 clinicians

Practice addresses (Care Compare)

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10052039ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ubh of Oregon, LLC CurrentSince Oct 26, 2025 Accepting new patients

Locations

10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1104534338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW EASTRIDGE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255004",
            "telephone_number": "503-944-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW EASTRIDGE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255004",
            "telephone_number": "503-944-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJAJ",
        "first_name": "NADEEN",
        "middle_name": "NAZEM",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10052039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.