Montgomery, Mark

Montgomery, Mark is an individual health care provider with primary practice located at 1115 W Main St , Cottage Grove OR 97424-1915. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Montgomery, Mark can be contacted via phone (541) 942-2217.

Contact Information

Primary practice address
1115 W Main St Cottage Grove OR 97424-1915
Phone: (541) 942-2217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1073358636
LBN Legal business name Montgomery, Mark
Credentials Master of Public Administration (MPA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2024
Last updated Jun 26th, 2024 - about last year

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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