Active NPI
Nastaran Neishaboori
- Molecular Genetic Pathology (Pathology) Physician
- Portland, OR
National Provider Identifier
1306264999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician
- License
- A149044
- Practice address
- 4805 NE Glisan St
Portland, OR 97213-2933 - Phone
- (503) 893-7692
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | MD222287 | OR | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | A149044 | CA | Primary |
Addresses
Primary practice location
4805 NE Glisan St
Portland, OR 97213-2933
Mailing address
1500 NE 15TH Ave Apt 443
Portland, OR 97232-4418
Phone (832) 540-0098
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Hospital & facility affiliations
- Providence Portland Medical Center
- Covenant Medical Center
- Providence St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.53 of 100
- Quality
- 96.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149044 | CA | MD | Molecular Genetic Pathology (Pathology) Physician |
Practice roles
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Organizations & group practices 18
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
-
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1306264999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NE 15TH AVE APT 443",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324418",
"telephone_number": "832-540-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132933",
"telephone_number": "503-893-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEISHABOORI",
"first_name": "NASTARAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "OR",
"license": "MD222287",
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "CA",
"license": "A149044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.