NPI 1073358636

Mark Montgomery, MPA

Practitioner Peer Specialist Cottage Grove, OR

Practice location

Address: 1115 W Main St, Cottage Grove, OR 97424-1915
Phone: (541) 942-2217

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oregon →

Registry record

NPI: 1073358636
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2024
Record last updated: 26 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.