Individual
MR. JAMES ALEXANDER NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12550 SE 93RD AVE, SUITE 250, CLACKAMAS, OR 97015-9786
(503) 654-1153
(503) 654-7693
Mailing address
1130 NW 22ND AVE, SUITE 640, PORTLAND, OR 97210-2900
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150071NP
OR
Other
Enumeration date
02/04/2010
Last updated
01/23/2017
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