Organization Active NPI

Dr Jen Cicilian LLC

  • Health Service Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1124792502
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Feb 7, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.