Provider Demographics
NPI:1134137847
Name:CHOPRA, NADIA SEFCOVIC (PT, DPT, OCS, COMT)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:SEFCOVIC
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:PT, DPT, OCS, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 NE 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-2306
Mailing Address - Country:US
Mailing Address - Phone:718-395-2456
Mailing Address - Fax:
Practice Address - Street 1:3317 NE 15TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212
Practice Address - Country:US
Practice Address - Phone:503-893-9857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR609902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic