Modern Nutrition Nw LLC
NPI 1235769670 · Health Service Clinic/Center · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Nutrition Nw LLC is a Health Service Clinic/Center organization in Portland, OR (NPI 1235769670).
Provider details
- NPI number
- 1235769670
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krista Schaefer, Registered Dietitian Nutritionist(503) 313-6461
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Modern Nutrition Nw LLC's NPI number?
- Modern Nutrition Nw LLC's National Provider Identifier (NPI) is 1235769670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Nutrition Nw LLC?
- Modern Nutrition Nw LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Nutrition Nw LLC located?
- Modern Nutrition Nw LLC's practice location on file with NPPES is 7003 Se Yearling Ln, Portland, OR 97267-1983.
- What is Modern Nutrition Nw LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Nutrition Nw LLC is (503) 650-3801.
- Does Modern Nutrition Nw LLC accept Medicare?
- Modern Nutrition Nw LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Nutrition Nw LLC?
- The authorized official listed on Modern Nutrition Nw LLC's NPPES record is Krista Schaefer, Registered Dietitian Nutritionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Nutrition Nw LLC's NPI active?
- Yes — Modern Nutrition Nw LLC's NPI (1235769670) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.