Individual
MS. JANE GALLAGHER MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5050 NE HOYT ST STE 156, PORTLAND, OR 97213-2956
(503) 215-1677
(503) 215-6485
Mailing address
4111 NE ALAMEDA ST, PORTLAND, OR 97212-2910
(503) 215-1677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0408
OR
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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