Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moda Wellness LLC

Organization Infusion Therapy Registered Nurse · NPI 1134012180

Moda Wellness LLC is an Infusion Therapy Registered Nurse in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5331 S Macadam Ave Ste 260
Portland, OR 97239-3863
Phone: (503) 243-3967
Fax: (503) 243-3895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Registered Nurse (primary) Taxonomy 163WI0500X

Record details

NPI number1134012180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Lou True — Chief Human Resource Officer · (503) 702-3164
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address5331 S Macadam Ave Ste 260, Portland, OR 97239-3863

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