Individual
MRS. ALESSANDRA F NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4833 NE 28TH AVE, PORTLAND, OR 97211-6334
(510) 220-5637
Mailing address
4833 NE 28TH AVE, PORTLAND, OR 97211-6334
(510) 220-5637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10129425
OR
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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