Montgomery, Tara L.
Montgomery, Tara L. is an individual health care provider with primary practice located at 1400 E. Kincaid Street , Mount Vernon WA 98274-4127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Montgomery, Tara L. can be contacted via phone (360) 428-6434.Contact Information
Primary practice address
1400 E. Kincaid Street
Mount Vernon WA 98274-4127
Phone: (360) 428-6434
Fax: (360) 848-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OT011765 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OP60329003 | Washington |
Profile Details
| NPI number | 1306052006 |
|---|---|
| LBN Legal business name | Montgomery, Tara L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Apr 15th, 2016 - about 9 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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