Individual
MRS. JENNIFER LEANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
333 NE RUSSELL ST STE 204, PORTLAND, OR 97212-3763
(503) 455-4258
Mailing address
333 NE RUSSELL ST STE 204, PORTLAND, OR 97212-3763
(503) 455-4258
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10253088
OR
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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