Individual
MRS. RACHAEL ANDREA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7000
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4207
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10006319
OR
Other
Enumeration date
10/31/2022
Last updated
04/04/2023
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