MRS. JANICE CAROLE MODESITT (NPI# 1992841555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992841555 |
| Entity Type | Individual |
| Full Name | MRS. JANICE CAROLE MODESITT |
| Credential | L.M.T. |
| Practice Address |
16463 Boones Ferry Rd Lake Oswego OR 97035-4259 |
| Mailing Address |
4299 Sw Country Woods Court Lake Oswego OR 97035 |
| Practice Telephone | 5036992955 |
| Mailing Telephone | 5036356858 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1035 | OR | Other Service Providers |
| Street Address |
16463 BOONES FERRY RD |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069529 | Lauren Marlene Gearhart | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4207 | 2005-11-09 |
| 1366982258 | Lake Grove Family Medical Clinic LLC | Clinic/Center | 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 | 2017-02-27 |
| 1528429198 | The Rhythm Clinic LLC | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2016-03-10 |
| 1588902902 | Olson Pediatric Clinic, LLC | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2013-01-18 |
| 1639438419 | Janice Modesitt Lmt | Clinic/Center | 16463 Boones Ferry Rd, Ste. 100, Lake Oswego, OR 97035-4259 | 2012-05-14 |
| 1619273844 | Northwest Endocrinology, LLC | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4259 | 2011-02-05 |
| 1558505032 | Elizabeth Graff | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2009-04-28 |
| 1295978732 | Steven A. Hashiguchi, Md, LLC | Internal Medicine | 16463 Boones Ferry Rd, #300, Lake Oswego, OR 97035-4259 | 2009-04-14 |
| 1780796961 | Meri Todd Harper | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2006-08-31 |
| 1912930074 | Claudia Marie Sage | Dietitian, Registered | 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347804 | Audrey Jones | Specialist | 16055 Boones Ferry Rd, Lake Oswego, OR 97035-4364 | 2019-03-29 |
| 1144755281 | Eltie Watson | Specialist | 15171 Bangy Rd, Suite 121, Lake Oswego, OR 97035-3270 | 2017-04-26 |
| 1265820690 | Heather Green | Specialist | 4201 Chapman Way, Lake Oswego, OR 97035-5562 | 2015-01-08 |
| 1952649279 | Robert Michael Julien | Specialist | 23 Becket St, Lake Oswego, OR 97035-1033 | 2013-01-21 |
| 1740535194 | Laurie Ellen Volm | Specialist | 15962 Boones Ferry Rd Ste 209, Lake Oswego, OR 97035-4360 | 2012-07-20 |
| 1831491109 | Richard Lee Worthington | Specialist | 5160 Firwood Rd, Lake Oswego, OR 97035-4226 | 2010-11-18 |
| 1154621639 | John Canisius English | Specialist | 500 Bergis Rd, Lake Oswego, OR 97034-6252 | 2010-10-29 |
| 1285886572 | Jeana H Kuziemski | Specialist | 267 Cervantes, Lake Oswego, OR 97035-1207 | 2008-10-17 |
| 1093970410 | Nancy Lynn De Turk | Specialist | 295 3rd St, 9, Lake Oswego, OR 97034-3053 | 2008-07-24 |
| 1699945071 | Lois Eldora Stevens | Specialist | 12375 Mt Jefferson Terrace, 4c, Lake Oswego, OR 97035 | 2008-03-03 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on MRS. JANICE CAROLE MODESITT.
| 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.