NPI

Bobak Amir Ghaheri

NPI 1114098696

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2006-11-13
Last updated
2025-12-04

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Specialties

Licenses

License OR
MD27404

Location

Practice location
24076 SE Stark St, Suite 230
City
Gresham OR
Postal code
97030-3373
Phone
(503) 488-2600
Fax
(503) 465-5468

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

ENT Doctors (Otolaryngologists) in Gresham, OR. 6 with this primary taxonomy in the public file.

Other NPIs in Gresham, OR. 2,412 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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