Individual
DIEGUITA ANN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
094006479RN
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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