Victoriam Montgomery, LMT
Individual provider Active NPI Massage Therapist · Rhododendron, OR
NPI 1780061374 · NPPES record last updated May 3, 2015
Key facts
- NPI
- 1780061374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 17017 (OR)
- Practice address
- 65615 E Timberline Dr E
Rhododendron, OR 97049-9775 - Phone
- (503) 516-5523
- NPI assigned
- May 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17017 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17017 | OR | Yes |
Addresses
Primary practice location
65615 E Timberline Dr E
Rhododendron, OR 97049-9775
Mailing address
65615 E Timberline Dr E
Rhododendron, OR 97049-9775
Phone (503) 516-5523
Other providers in Rhododendron, OR
- Lucinda Carrie Dahl
- Disability Rights Center
- Kathryn Wright Manifacier
- Sharon Lorraine Pryor
- Two Foxes Singing
All providers in Rhododendron, OR · Massage Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.