Individual
JASPER MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3071 WHITBECK BLVD, EUGENE, OR 97405-1977
(503) 545-9891
Mailing address
3071 WHITBECK BLVD, EUGENE, OR 97405-1977
(503) 545-9891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
288241
OR
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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