Individual provider · Type 1 NPI

Janice Carole Modesitt, L.M.T.

Specialist · Lake Oswego, OR

NPI number 1992841555 Active

Practice location

16463 Boones Ferry Rd
Lake Oswego, OR 97035-4259

Call (503) 699-2955 Map

Mailing address

4299 SW Country Woods Court
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1035 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992841555

Janice Carole Modesitt, L.M.T.'s National Provider Identifier is 1992841555, issued on Jan 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jul 8, 2007.