NPI Registry.org

Modern Movement Medicine

NPI Registration Record

Provider / OrganizationNPIDate Certified
MODERN MOVEMENT MEDICINE15883794242023-01-16

The organization Modern Movement Medicine is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1588379424. Registration indicates Modern Movement Medicine is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Health Service, ) (Clinic/Center Health Service, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationMODERN MOVEMENT MEDICINE
Other Provider OrganizationWEST CHIROPRACTIC
Practice Office Address30485 SW BOONES FERRY RD STE 104
WILSONVILLE, OR US
Practice Office Telephone9717770237
Mailing Address30485 SW BOONES FERRY RD STE 104
WILSONVILLE, OR 970707845 US
Business Telephone9717770237
Authorized OfficialALYSSA MARIE KURTH, OWNER
5036289082
HPT Codes
CodePractice
License No
State
261QH0100X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Health Service

Clinic/Center Health Service
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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