NPI 1376952275

Novam-Nutrition LLC

Organisation Medical Foods Supplier Beaverton, OR

Practice location

Address: 15455 NW Greenbrier Pkwy Suite #100, Beaverton, OR 97006-7374
Phone: (855) 416-6826
Fax: (360) 326-1621

Authorised official

Name: David Lindsley
Title: President
Phone: (855) 416-6826

Registered specialties (2)

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

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Non-Pharmacy Dispensing Site

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1376952275
Entity type: Organization
NPI issued: 5 Aug 2014
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.