Individual
LORI MONTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70362 KUNZE LN, BOARDMAN, OR 97818-8013
(541) 481-3233
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18891246302
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
09/13/2018
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