Montagne, Mori Jo

Montagne, Mori Jo is an individual health care provider with primary practice located at 2020 Capitol St Ne , Salem OR 97301-0644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Montagne, Mori Jo can be contacted via phone (503) 399-2424.

Contact Information

Primary practice address
2020 Capitol St Ne Salem OR 97301-0644
Fax: (503) 375-7454
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 092000262N5 Oregon

Profile Details

NPI number 1730284027
LBN Legal business name Montagne, Mori Jo
Credentials NM-NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 24th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730284027 NPPES
Oregon MEDICAID 083639

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