Individual
MARIAN N MONTOYA-CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3627 SE DOCKSIDE DR, CORVALLIS, OR 97333-9346
(541) 969-5954
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(541) 969-5954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201707820NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042592802
—
TX
Enumeration date
06/13/2005
Last updated
07/28/2020
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