Individual
MARY L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2329 4TH AVE, SEATTLE, WA 98121-1717
(206) 461-3649
(206) 461-8391
Mailing address
11000 LAKE CITY WAY NE, COMMUNITY PSYCHIATRIC CLINIC, SEATTLE, WA 98125-6748
(206) 461-3614
(206) 634-3596
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30005664
WA
Other
Enumeration date
12/13/2006
Last updated
10/05/2008
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