NOVAM-NUTRITION LLC NPI 1376952275

NPI Information

  • NPI: 1376952275
  • Provider Name: NOVAM-NUTRITION LLC
  • Classification: Medical Foods Supplier - 335G00000X
  • Entity Type: Organization
  • Address: 15455 NW GREENBRIER PKWY
    SUITE #100
    BEAVERTON, OR
    ZIP 97006
  • Phone: (855) 416-6826

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NPI Details

NOVAM-NUTRITION LLC is a medical foods supplier in Beaverton, OR. The provider is a supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. NOVAM-NUTRITION LLC NPI is 1376952275. The provider is registered as an organization entity type.

The provider's business location address is:

15455 NW GREENBRIER PKWY
SUITE #100
BEAVERTON, OR
ZIP 97006-374
Phone: (855) 416-6826
Fax: (360) 326-1621

The provider's authorized official is David Lindsley .
The authorized official title is President and has the following contact phone number (855) 416-6826.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteNo
2335G00000XMedical Foods SupplierYes

What is NPI?

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This page was last updated on: 11/21/2025

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