Individual
JANICE MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(503) 554-4314
(503) 537-7007
Mailing address
1901 ESTHER ST, NEWBERG, OR 97132-9529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
454
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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