MODERN NUTRITION NW LLC

PORTLAND, OR
NPI1235769670
Entity TypeOrganization
Authorized ContactKRISTA SUZZANNE SCHAEFER
Registered Dietitian Nutritionist
503-313-6461
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2020-01-24
Last Update Date2025-08-26
Business Address
MODERN NUTRITION NW LLC
7003 SE YEARLING LN
PORTLAND, OR 97267-1983
Phone number: 503-650-3801
Mailing Address
MODERN NUTRITION NW LLC
PO BOX 493
CLACKAMAS, OR 97015-0493
Phone number: 503-650-3801