Active NPI
Dr Jen Cicilian LLC
- Health Service Clinic/Center
- Lake Oswego, OR
National Provider Identifier
1124792502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- DR JEN CICILIAN LLC
- Practice address
- 14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775 - Phone
- (971) 353-7990
- Fax
- (971) 353-7490
- NPI assigned
- Aug 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Renee Cicilian, ND, LAC
- Title
- Doctor, Owner
- Phone
- (971) 353-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Mailing address
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Phone (971) 353-7990
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770422400000",
"number": "1124792502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "971-353-7990",
"fax_number": "971-353-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "971-353-7990",
"fax_number": "971-353-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JEN CICILIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-09",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A",
"authorized_official_last_name": "CICILIAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "DOCTOR, OWNER",
"authorized_official_telephone_number": "971-353-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.