Modesitt, Janice Carole

Modesitt, Janice Carole is an sole proprietor health care provider with primary practice located at 16463 Boones Ferry Rd , Lake Oswego OR 97035-4259. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Modesitt, Janice Carole can be contacted via phone (503) 699-2955.

Contact Information

Primary practice address
16463 Boones Ferry Rd Lake Oswego OR 97035-4259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1035 Oregon

Profile Details

NPI number 1992841555
LBN Legal business name Modesitt, Janice Carole
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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