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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteNo
2335G00000XMedical Foods SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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