NPI 1235446683

Ellen M Montague, LMT

Practitioner Contractor Salem, OR

Practice location

Address: 3957 Shaniko CT SE, Salem, OR 97302-1717
Phone: (503) 391-7130
Mailing address: PO Box 4374, Salem, OR 97302-8374

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3292 (OR)

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Registry record

NPI: 1235446683
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2010
Record last updated: 7 Sep 2010

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.