Individual
MS. ANGELA MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(971) 334-6293
(503) 546-9417
Mailing address
420 NE MASON ST, PORTLAND, OR 97211-3479
(971) 334-6293
(503) 546-9417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201607900LPN
OR
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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