Modern Nutrition Nw Llc

LBN: Modern Nutrition Nw Llc
Modern Nutrition Nw Llc is an health care organization with primary practice located at 619 Madison St Ste 102 , Oregon City OR 97045-2354. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Modern Nutrition Nw Llc can be contacted via phone (503) 313-6461, or through Schaefer, Krista Suzzanne via phone (503) 313-6461.

Contact Information

Primary practice address
619 Madison St Ste 102 Oregon City OR 97045-2354
Phone: (503) 313-6461
Fax: (503) 650-7002
Website:
Map and Directions
Authorized official contact:
Name: Schaefer, Krista Suzzanne MS RDN LD
Phone: (503) 313-6461

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1235769670
LBN Legal business name Modern Nutrition Nw Llc
DBA Doing business as
Authorized official Schaefer, Krista Suzzanne MS RDN LD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2020
Last updated Jan 24th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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