Sang Ly Montage, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 01047 Issued in OR

Practice address

15095 Highway 238
Jacksonville, OR 97530-9612

Phone

(541) 231-6558

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sang Ly Montage Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1225165194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 HUMBUG CREEK RD",
            "city": "APPLEGATE",
            "state": "OR",
            "postal_code": "975309620",
            "telephone_number": "541-231-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 HIGHWAY 238",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309612",
            "telephone_number": "541-231-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGE",
        "first_name": "SANG",
        "middle_name": "LY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC 01047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANG",
            "last_name": "MONTAGE",
            "middle_name": "LY",
            "prefix": "MS.",
            "credential": "L. AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gayle Y. Lewis, WHCNP
• Margaret Scott Allison Ley, CNM
• Teretha Lee Martinez, RN, LMT
• Ashley Rose Merrill, LDM, CPM
• Rex F. Miller, DMD, PC
• Movement Mindset Chiropractic LLC
• Julie Ann Mowatt, L.C.S.W.
• Babbette Lemar Murphy, NP
• Pieter Frederick Oosthuizen, LD
• Origins Functional Wellness, LLC

• Acupuncturist in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.