JANICE CAROLE MODESITT

LAKE OSWEGO, OR
NPI1992841555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  1035)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
Mrs. JANICE CAROLE MODESITT L.M.T.
16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035-4259
Phone number: 503-699-2955
Mailing Address
Mrs. JANICE CAROLE MODESITT L.M.T.
4299 SW COUNTRY WOODS COURT
LAKE OSWEGO, OR 97035
Phone number: 503-635-6858