Modus Vivendi LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CERIFICATE OF APPROV Issued in OR

Legal business name

MODUS VIVENDI LLC

Practice address

18428 SE Pine St Ste 105
Portland, OR 97233-4873

Phone

(503) 781-9065

Fax

(503) 665-0160

NPI assigned

Nov 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Olga V Parker, PHDNPI 1861563157

Title

Program Director

Phone

(503) 781-9065

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olga V Parker, PH.D.

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1861563157
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1932436037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66344",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972906344",
            "telephone_number": "503-781-9065",
            "fax_number": "503-761-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18428 SE PINE ST STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334873",
            "telephone_number": "503-781-9065",
            "fax_number": "503-665-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODUS VIVENDI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "503-781-9065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "CERIFICATE OF APPROV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Jennifer Modest
• Nir Modiano, MD, PHD
• Rachel Marie Modica-Russell
• John Matthew Tan Modina, PT
• Emily Modlin, BA
• Tina Qian Hong Mody, PHARMD
• Kyla Dawn Moe-Stull
• Sally Marie Moeggenberg, MPT
• Cassandra Moeller, BT
• Dawn C Moeller, L.AC.

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.