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General NPI Number Information
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NPI Number | 1184543043
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Entity Type | Individual
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Provider Name | JENNIFER NOVAK ND
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 350 SE MILL ST STE 12
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City | PORTLAND
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State | OR
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Zip | 97214-5096
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Country | US
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Telephone | 971-220-2759
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Fax | 503-954-2250
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Provider Business Mailing Address
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Address Line | 2503 NW RALEIGH ST APT 305
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City | PORTLAND
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State | OR
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Zip | 97210-2490
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Country | US
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Telephone | 217-358-5839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5138
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License Number State | OR
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