Moda Wellness LLC

NPI #1134012180 in Portland, Oregon

Provider Information

NPI Number
1134012180
Entity Type
Organization
Organization Name
Moda Wellness LLC
Primary Specialty
Registered Nurse - Infusion Therapy
Enumeration Date
May 29, 2025
Last Updated
May 29, 2025

Practice Location

Address
5331 S MACADAM AVE STE 260
State
Oregon
ZIP Code
97239-3863
Phone
(503) 243-3967

Authorized Official

Name
MARY LOU TRUE
Title
CHIEF HUMAN RESOURCE OFFICER
Phone
(503) 702-3164

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Infusion TherapyInfusion Therapy

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