Nikita Ivanov, MD

NPI 1912648353 · on the registry since 2022

Practice

Address: 2222 Nw Lovejoy St Ste 406
Portland, OR 97210
Phone: (503) 808-9211
Organisation at this address: C.Todd Woolley Md Pc
Lester M Baskin Md Pc
Larry R. Thomas Md Llc
Samuel G Shiley Md Llc
Lovejoy Opticians Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 104

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon