Healthcare Provider Details

I. General information

NPI: 1770656852
Provider Name (Legal Business Name): NAUPHYLL ZUBERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4585 SW 185TH AVE
ALOHA OR
97078-1557
US

IV. Provider business mailing address

6453 SW ORCHID ST
PORTLAND OR
97219-4951
US

V. Phone/Fax

Practice location:
  • Phone: 503-591-9280
  • Fax: 503-535-7276
Mailing address:
  • Phone: 417-499-3339
  • Fax: 503-535-7276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2001014723
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD27609
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: