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Dr Jen Cicilian LLC

Clinic/Center, Health Services in Lake Oswego, OR. Organization (NPI-2).

NPI number1124792502
StatusActive
Last updated in NPPESFeb 7, 2026

Details

NPI
1124792502
Entity type
Organization (NPI-2)
Legal business name
Dr Jen Cicilian LLC
Organization subpart
No
Enumeration date
Aug 9, 2021
Certification date
Feb 7, 2026
Last updated
Feb 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes

Practice location

14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775

Phone 971-353-7990 · Fax 971-353-7490

Mailing address

14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775

Phone 971-353-7990 · Fax 971-353-7490

Authorized official

Jennifer Renee Cicilian
Doctor, Owner
9713537990

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