Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JANICE CAROLE MODESITT, L.M.T.
Active Sole ProprietorSpecialist · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1992841555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2007 (19.253553804165 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1035 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16463 BOONES FERRY RDLAKE OSWEGO, OR, 970354259Browse OR providers · Browse ZIP 97035
- Phone
- 5036992955
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARLA MARIE KLEIN | M.D. | 1912990664 |
| GARETH AUBREY TABOR | M.D. | 1205866399 |
| DR. JEFFREY TURNER | M.D. | 1205855913 |
| MR. WYATT JAMES BROWN | C.PED. | 1205976990 |
| MR. LEV VOLOD | LMT | 1720114051 |
| LEE DAVID ROBINSON | M.D. | 1992832851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.