Mr. John Kennan Novack
Mr. John Kennan Novack is an Optician in Beaverton, Oregon. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
4855 SW Western AveBeaverton, OR 97005-3460
Phone: (503) 643-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X (WA) |
|---|
Record details
| NPI number | 1831208529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
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Jonathan Ray Gregory
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Mrs. Donna M Hobson
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Mr. Thomas George White
4855 SW Western Ave, Beaverton, OR 97005-3460 · (503) 520-4975