{"npi":"1306264999","type":"NPI-1","status":"active","name":{"display":"Nastaran Neishaboori","other":[],"first":"NASTARAN","last":"NEISHABOORI"},"specialty":{"primary_taxonomy":"207ZP0007X","primary_taxonomy_description":"Molecular Genetic Pathology (Pathology) Physician","slug":"molecular-genetic-pathology-pathology-physician","schema_org_specialty":null,"all":[{"code":"207ZP0007X","description":"Molecular Genetic Pathology (Pathology) Physician","primary":false,"state":"OR","license":"MD222287"},{"code":"207ZP0007X","description":"Molecular Genetic Pathology (Pathology) Physician","primary":true,"state":"CA","license":"A149044"}]},"addresses":[{"purpose":"LOCATION","street_1":"4805 NE GLISAN ST","city":"PORTLAND","state":"OR","postal_code":"972132933","country_code":"US","phone":"5038937692"},{"purpose":"MAILING","street_1":"1500 NE 15TH AVE APT 443","city":"PORTLAND","state":"OR","postal_code":"972324418","country_code":"US","phone":"8325400098"}],"license":{"state":"CA","number":"A149044"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241017001961","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"OR","pac_id":"6002033446"}]},"enumeration_date":"2014-04-01","last_updated":"2025-02-10","_meta":{"source":"NPPES","snapshot_date":"2025-02-10","doc_url":"https://findmynpi.com/api"}}