person
Mr. John Kennan Novack
Optician in Beaverton, Oregon
NPI 1831208529

John Kennan Novack is a Optician based in Portland, OR and is specialized in Optician. John Kennan Novack practices in Beaverton, OR. The NPI Number for John Kennan Novack is 1831208529 and holds a License No. (Oregon).

The current practice location address for John Kennan Novack is 4855 Sw Western Ave, Beaverton, OR and can be reached out via phone at 503-643-7565.

Location: 4855 Sw Western Ave, Beaverton, OR, 97236-2445
person
Provider Profile Details
NPI Number
1831208529
Provider Name
John Kennan Novack
Credential
Provider Entity Type
Individual
Gender
Male
Address
4855 Sw Western Ave, Beaverton, OR, 97236-2445
Phone Number
503-643-7565
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4855 Sw Western Ave
City
State
Zip
97005-3460
Phone Number
503-643-7565
Fax Number
person
Provider Business Mailing Address Details
Address
4855 Sw Western Ave
City
State
Zip
97005-3460
Phone Number
503-643-7565
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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