Basic Information
| Provider Information | |||||||||
| NPI: | 1770656852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZUBERI | ||||||||
| FirstName: | NAUPHYLL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6453 SW ORCHID ST | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972194951 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4174993339 | ||||||||
| FaxNumber: | 5035357276 | ||||||||
| Practice Location | |||||||||
| Address1: | 10300 SW EASTRIDGE ST | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972255004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5039445000 | ||||||||
| FaxNumber: | 5035357276 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 12/21/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 2001014723 | MO | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | MD27609 | OR | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.