MRS. LYNN D MODJESKI


Address: 39 Nw Louisiana Ave, Bend, OR 97701-3203
Phone: 5413828862

MRS. LYNN D MODJESKI (NPI# 1922130905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922130905
Entity Type Individual
Full Name MRS. LYNN D MODJESKI
Credential PMHNP, RN
Practice Address 39 Nw Louisiana Ave
Bend
OR 97701-3203
Practice Telephone 5413828862
Practice Fax Number 5413828928
Mailing Telephone 5413828862
Mailing Fax Number 5413828928
Enumeration Date 2007-03-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
X 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
22752 OR Nursing Service Providers
X 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
22752 OR Nursing Service Providers
X 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
22752 OR Nursing Service Providers

Office Location

Street Address 39 NW LOUISIANA AVE
City BEND
State OR
Zip Code 97701-3203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861050072 Healing Roots Counseling, LLC Counselor 39 Nw Louisiana Ave, Bend, OR 97703-3310 2019-06-03
1356823306 Angela Kay Pyke Counselor 39 Nw Louisiana Ave, Bend, OR 97703-3310 2018-09-05
1902305196 Keri Lynn Garrison Massage Therapist 39 Nw Louisiana Ave, Bend, OR 97703-3310 2018-02-02
1477098812 Lori Ann Carroll Chiropractor 39 Nw Louisiana Ave, Bend, OR 97703-3310 2016-12-20
1508213893 Kevin R. Pett Phd Acupuncturist 39 Nw Louisiana Ave, Bend, OR 97703-3310 2016-05-17
1386035277 Sarah Reynolds-jackson Massage Therapist 39 Nw Louisiana Ave, Bend, OR 97701-3310 2015-02-12
1194123786 Calley Asbill Naturopath 39 Nw Louisiana Ave, Bend, OR 97701 2014-12-12
1245652353 Matt Lauziere Specialist 39 Nw Louisiana Ave, Bend, OR 97701-3310 2014-01-08
1326481383 Karl Dwight Jackson Massage Therapist 39 Nw Louisiana Ave, Bend, OR 97701-3310 2013-04-09
1841533965 Justine Kargol Massage Therapist 39 Nw Louisiana Ave, Bend, OR 97701-3310 2013-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720687676 Bree Burch Counseling LLC Counselor 19781 Baneberry Ave, Bend, OR 97702-3360 2020-10-21
1740897511 Steve Nathanial Harper Counselor 1354 Nw Ithaca Ave, Bend, OR 97703-2223 2020-09-25
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1962028928 Elizabeth Kay Grotsky Counselor 1900 Ne Division St Ste 201, Bend, OR 97701-3572 2020-06-24
1285250704 Elizabeth Jane Lindt Counselor 63311 Jamison Street, Bend, OR 97703 2020-06-20
1407472996 Abigail Kelley Counselor 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 2020-06-19
1932723863 Chloe Hallock Counselor 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 2020-06-06
1275153983 Riverbend Family Counseling Counselor 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 2020-04-22
1790318145 Leah Alice Williamson Counselor 118 Nw Thurston Ave, Bend, OR 97703 2020-02-13
1497391197 Mountain Equinox LLC Counselor 1554 Ne 4th St, Bend, OR 97701-4240 2019-11-18
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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