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MODERN NUTRITION NW LLC
NPI 1235769670
Clinic/Center - Health Service in Portland, OR

Active since January 24, 2020
7003 SE YEARLING LN, PORTLAND, OR 97267(503) 650-3801(503) 650-7002 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Nutrition Nw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN NUTRITION NW LLC (NPI 1235769670) is a healthcare organization registered as a health service in Portland, Oregon and active in the NPI registry since January 2020. The organization lists Krista Suzzanne Schaefer, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1235769670
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMODERN NUTRITION NW LLC
Location Address7003 SE YEARLING LNPortland, OR 97267-1983
Mailing AddressPo Box 493Clackamas, OR 97015-0493 · (503) 650-3801 · Fax (503) 650-7002
Phone(503) 650-3801
Fax(503) 650-7002
Organization SubpartNo
Authorized OfficialKrista Suzzanne SchaeferRegistered Dietitian Nutritionist · (503) 313-6461
Enumeration DateJanuary 24, 2020
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1235769670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
7003 SE YEARLING LN, Portland, OR 97267
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Nutrition NW LLC's NPI number?

The NPI number for Modern Nutrition NW LLC is 1235769670. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Modern Nutrition NW LLC located?

Modern Nutrition NW LLC is located at 7003 SE Yearling Ln, Portland, OR 97267. The listed phone number is (503) 650-3801.

What is Modern Nutrition NW LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Modern Nutrition NW LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Modern Nutrition NW LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Nutrition NW LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.