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Modern Nutrition Nw Llc
Health Service Clinic/Center in Oregon City, Oregon
NPI 1235769670

Modern Nutrition Nw Llc is a Health Service Clinic/Center based in Estacada, OR and is specialized in Health Service. Modern Nutrition Nw Llc practices in Oregon City, OR. The NPI Number for Modern Nutrition Nw Llc is 1235769670 and holds a License No. (Oregon).

The current practice location address for Modern Nutrition Nw Llc is 619 Madison St Ste 102, Oregon City, OR and can be reached out via phone at 503-313-6461 and via fax at 503-650-7002.

Location: 619 Madison St Ste 102, Oregon City, OR, 97023-7400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235769670
Provider Name
Modern Nutrition Nw Llc
Credential
Provider Entity Type
Organization
Address
619 Madison St Ste 102, Oregon City, OR, 97023-7400
Phone Number
503-313-6461
Fax Number
503-650-7002
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 Madison St Ste 102
City
Oregon City
State
Oregon
Zip
97045-2354
Phone Number
503-313-6461
Fax Number
503-650-7002
person
Provider Business Mailing Address Details
Address
619 Madison St Ste 102
City
Oregon City
State
Oregon
Zip
97045-2354
Phone Number
503-313-6461
Fax Number
503-650-7002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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