Individual
DIJONNETTE LASHELLE MONTGOMERY-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19075 NW TANASBOURNE DR, HILLSBORO, OR 97124-5860
(503) 813-2619
Mailing address
1435 NE 81ST AVE, PORTLAND, OR 97213-6759
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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