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

Modern Nutrition NW LLC

Organization Health Service Clinic/Center · NPI 1235769670

Modern Nutrition NW LLC is a Health Service Clinic/Center in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
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

7003 SE Yearling Ln
Portland, OR 97267-1983
Phone: (503) 650-3801
Fax: (503) 650-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1235769670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Schaefer — Registered Dietitian Nutritionist · (503) 313-6461
NPI enumeratedJanuary 24, 2020
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing addressPo Box 493, Clackamas, OR 97015-0493

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