Novack, Craig Martin

Novack, Craig Martin is an individual health care provider with primary practice located at 501 N Graham St Suite 265, Portland OR 97227-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Novack, Craig Martin can be contacted via phone (503) 282-7002.

Contact Information

Primary practice address
501 N Graham St Suite 265 Portland OR 97227-1654
Phone: (503) 282-7002
Fax: (503) 280-1290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD19260 Oregon

Profile Details

NPI number 1043328032
LBN Legal business name Novack, Craig Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043328032 NPPES
Oregon MEDICAID 073510

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