Montoya, Breanna J.
Montoya, Breanna J. is an sole proprietor health care provider with primary practice located at 384 Sw Upper Terrace Dr Ste 202 , Bend OR 97702-3432. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Montoya, Breanna J. can be contacted via phone (541) 788-9642.Contact Information
Primary practice address
384 Sw Upper Terrace Dr Ste 202
Bend OR 97702-3432
Phone: (541) 788-9642
Fax: (651) 647-1413
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T1340 | Oregon |
Profile Details
NPI number | 1326213596 |
---|---|
LBN Legal business name | Montoya, Breanna J. |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2008 |
Last updated | Jul 22nd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326213596 | NPPES |
Oregon | MEDICAID | 500661132 |
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