MR. John Kennan Novack

NPI #1831208529 in Beaverton, Oregon

Provider Information

NPI Number
1831208529
Entity Type
Individual
Name
MR. John Kennan Novack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Aug 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4855 SW WESTERN AVE
State
Oregon
ZIP Code
97005-3460
Phone
(503) 643-7565

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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