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NPI Code Detail

MEDICARE: ALEFIYAH RAJABALI MD

MEDICARE: ALEFIYAH RAJABALI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD189967OR
2207R00000XInternal Medicine PhysicianMD189967OR
3207RC0001XClinical Cardiac Electrophysiology PhysicianMD189967OR

General Provider Information

NPI Number : 1386925899
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEFIYAH RAJABALI MD
Provider Business Mailing Address
First Line : 4400 NE HALSEY ST STE 102
Second Line :
City : PORTLAND
State : OR
Zip : 97213-1545
Country : US
Telephone Number : 503-962-1000
Fax Number :
Provider Business Practice Location Address
First Line : 4400 NE HALSEY ST STE 102
Second Line :
City : PORTLAND
State : OR
Zip : 97213-1545
Country : US
Telephone Number : 503-962-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2011
Last Update Date : 02/04/2026

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