Healthcare Provider Details

I. General information

NPI: 1992506356
Provider Name (Legal Business Name): LILY-ANN PAIGE NAJMABADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 SW HAMPTON ST STE 310
TIGARD OR
97223-8332
US

IV. Provider business mailing address

6400 SW VERMONT ST
PORTLAND OR
97219-1051
US

V. Phone/Fax

Practice location:
  • Phone: 971-200-5030
  • Fax:
Mailing address:
  • Phone: 707-236-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberR10074
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: