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Janice Modesitt Lmt
Clinic/Center in Lake Oswego, Oregon
NPI 1639438419

Janice Modesitt Lmt is a Clinic/Center based in Lake Oswego, OR. Janice Modesitt Lmt practices in Lake Oswego, OR. The NPI Number for Janice Modesitt Lmt is 1639438419 and holds a License No. 1045 (Oregon).

The current practice location address for Janice Modesitt Lmt is 16463 Boones Ferry Rd, Lake Oswego, OR and can be reached out via phone at 503-699-2955.

Location: 16463 Boones Ferry Rd, Lake Oswego, OR, 97035-4259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639438419
Provider Name
Janice Modesitt Lmt
Credential
Provider Entity Type
Organization
Address
16463 Boones Ferry Rd, Lake Oswego, OR, 97035-4259
Phone Number
503-699-2955
Fax Number
Provider Enumeration Date
05/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-699-2955
Fax Number
person
Provider Business Mailing Address Details
Address
16463 Boones Ferry Rd
City
Lake Oswego
State
Oregon
Zip
97035-4259
Phone Number
503-699-2955
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1045 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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