Janice Modesitt Lmt
Janice Modesitt Lmt is a Clinic/Center in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
16463 Boones Ferry Rd Ste 100Lake Oswego, OR 97035-4259
Phone: (503) 699-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 1045 (OR) |
|---|
Record details
| NPI number | 1639438419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janice Modesitt — Licensed Massage Therapist · (503) 699-2955 |
| NPI enumerated | May 14, 2012 |
| Last updated in NPPES | May 14, 2012 |
| Mailing address | 16463 Boones Ferry Rd, Ste. 100, Lake Oswego, OR 97035-4259 |
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