Individual
SIERRA MCKENZIE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
51600 HUNTINGTON RD STE 103, LA PINE, OR 97739-8887
(541) 536-7443
Mailing address
52493 RIVER PINE RD, LA PINE, OR 97739-8906
(971) 241-5076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65078
OR
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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