JANICE MODESITT LMT


Address: 16463 Boones Ferry Rd, Ste. 100, Lake Oswego, OR 97035-4259
Phone: 5036992955

JANICE MODESITT LMT (NPI# 1639438419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639438419
Entity Type Organization
Organization Name JANICE MODESITT LMT
Practice Address 16463 Boones Ferry Rd
Ste. 100
Lake Oswego
OR 97035-4259
Practice Telephone 5036992955
Mailing Telephone 5036992955
Enumeration Date 2012-05-14
Last Update Date 2012-05-14
Authorized Official Name MRS. JANICE CAROLE MODESITT (LICENSED MASSAGE THERAPIST)
Authorized Official Telephone 5036992955
Authorized Official Credential L.M.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 1045 OR Ambulatory Health Care Facilities

Office Location

Street Address 16463 BOONES FERRY RD
STE. 100
City LAKE OSWEGO
State OR
Zip Code 97035-4259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720069529 Lauren Marlene Gearhart Internal Medicine 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4207 2005-11-09
1366982258 Lake Grove Family Medical Clinic LLC Clinic/Center 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 2017-02-27
1528429198 The Rhythm Clinic LLC Internal Medicine 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 2016-03-10
1588902902 Olson Pediatric Clinic, LLC Pediatrics 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 2013-01-18
1619273844 Northwest Endocrinology, LLC Internal Medicine 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4259 2011-02-05
1558505032 Elizabeth Graff Pediatrics 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 2009-04-28
1295978732 Steven A. Hashiguchi, Md, LLC Internal Medicine 16463 Boones Ferry Rd, #300, Lake Oswego, OR 97035-4259 2009-04-14
1992841555 Janice Carole Modesitt Specialist 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 2007-01-30
1780796961 Meri Todd Harper Pediatrics 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 2006-08-31
1912930074 Claudia Marie Sage Dietitian, Registered 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 2006-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932700127 Teresa Siebenaler Scott Social Worker 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 2020-11-04
1528671567 Martin Henry Lees Internal Medicine 14 Morningview Lane, Lake Oswego, OR 97035 2020-08-28
1356976187 Premere Rehab LLC Occupational Therapist Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 2020-03-12
1689212193 Jennifer Chauvin Nurse Practitioner 20 Juarez Street, Lake Oswego, OR 97035 2019-12-16
1003396888 Sarah Guenzburger Physical Therapist 3900 Kruse Way Pl, Lake Oswego, OR 97035 2018-08-21
1568964252 Brett Johnson Marriage & Family Therapist 5655 Southwood Dr, Lake Oswego, OR 97035 2018-03-08
1912416561 Michael Paul Long Social Worker 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 2017-09-27
1467807859 Misty Lohn Nurse Practitioner 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 2016-05-04
1326405473 Kelsey Prince Behavioral Analyst 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 2016-01-20
1942683388 Elizabeth Risberg Harrison Massage Therapist 190 Oswego Summit, Lake Oswego, OR 97035 2015-07-02
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205272267 Z Clinic LLC Clinic/Center 16250 Bryant Rd, Suite 101, Lake Oswego, OR 97035-4300 2013-05-17
1568793313 Providence Health & Services - Oregon Clinic/Center 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 2010-01-19
1578893962 Monarch Medical Group LLC Clinic/Center 17020 Pilkington, Lake Oswego, OR 97035 2010-01-06
1477636561 Pacific Medical Group, PC Clinic/Center 6 Centerpointe Drive, Ste 200, Lake Oswego, OR 97035 2006-10-23
1063860377 Deni R Buss, Lmt Clinic/Center 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035-7783 2016-05-26
1023488343 Providence Health & Services - Oregon Clinic/Center 4823 Meadows Rd, Lake Oswego, OR 97035-2529 2015-09-29
1982033494 Amer J Mirza, Md PC Clinic/Center 4103 Mercantile Dr, Lake Oswego, OR 97035 2013-11-05
1376887992 Justice Clinical Consults Inc Clinic/Center 315 2nd St, Lake Oswego, OR 97034-3114 2012-11-20
1801062179 Oakridge Medical Clinic Clinic/Center 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 2008-05-06
1205937273 Providence Health & Services - Oregon Clinic/Center 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 2006-09-25
Find all providers in LAKE OSWEGO

Competitor

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City LAKE OSWEGO
Zip Code 97035

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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