MRS. Janice Carole Modesitt, L.M.T.
NPI #1992841555 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1992841555
- Entity Type
- Individual
- Name
- MRS. Janice Carole Modesitt, L.M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- L.M.T.
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16463 BOONES FERRY RD
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4259
- Phone
- (503) 699-2955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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