Individual
MISS HILARY DAWN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1217 NE BURNSIDE RD BLDG C, STE. 503A, GRESHAM, OR 97030-6722
(503) 661-7733
(503) 661-7890
Mailing address
13203 SE 172ND AVE STE 166-233, HAPPY VALLEY, OR 97086-8737
(503) 661-7733
(503) 661-7890
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201405166RN
OR
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201907881NP-PP
OR
Other
Enumeration date
08/24/2015
Last updated
09/15/2023
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