OrganizationActive
Janice Modesitt Lmt
NPI 1639438419 · Clinic/Center · Lake Oswego, OR
Provider details
- NPI number
- 1639438419
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janice Modesitt, Licensed Massage Therapist(503) 699-2955
- License
- 1045 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
16463 Boones Ferry Rd
Ste. 100
Lake Oswego, OR 97035-4259
Phone: (503) 699-2955
Street-level locationGet directions
Mailing address
16463 Boones Ferry Rd
Lake Oswego, OR 97035-4259
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2012-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.