Individual
SHEILA ANNETTE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5035 SW 141ST AVE, BEAVERTON, OR 97005-3744
(503) 754-9008
Mailing address
5035 SW 141ST AVE, BEAVERTON, OR 97005-3744
(503) 754-9008
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5356
OR
Other
Enumeration date
01/04/2007
Last updated
09/07/2011
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