Individual
CHRISTINE MONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12505 NW CORNELL RD, PORTLAND, OR 97229-5651
(503) 646-3438
Mailing address
12505 NW CORNELL RD, PORTLAND, OR 97229-5651
(503) 646-3438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6140
OR
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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