Organization
MODERN NUTRITION NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA SUZZANNE SCHAEFER MS RDN LD (REGISTERED DIETITIAN NUTRITIONIST)
(503) 313-6461
Entity
Organization
Contact information
Practice address
7003 SE YEARLING LN, PORTLAND, OR 97267-1983
(503) 650-3801
(503) 650-7002
Mailing address
PO BOX 493, CLACKAMAS, OR 97015-0493
(503) 650-3801
(503) 650-7002
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
08/26/2025
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