Individual
MARK ANDREW MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
244 NE FRANKLIN AVE STE 1, BEND, OR 97701-4960
(541) 322-9642
Mailing address
1192 MCCLELLAN LN, BEND, OR 97702-3485
(541) 322-9642
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC169483
OR
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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