Individual
MS. KIMBERLY D. MONTAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3600 NW SAMARITAN DR, SUITE E350, CORVALLIS, OR 97330-3737
(541) 768-5205
(541) 768-5206
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
093006299RN
OR
Other
Enumeration date
06/26/2006
Last updated
08/12/2019
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