Individual
EVA JEWEL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 NW GLISAN ST, PORTLAND, OR 97210-3420
(503) 963-7641
(503) 719-4209
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/24/2025
Last updated
06/25/2025
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