Lori Montez

Individual provider Active NPI Case Manager/Care Coordinator · Boardman, OR

NPI 1891246302 · NPPES record last updated Sep 13, 2018

Key facts

NPI
1891246302
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
70362 Kunze LN
Boardman, OR 97818-8013
Phone
(541) 481-3233
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18891246302ORMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18891246302 OR
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

70362 Kunze LN
Boardman, OR 97818-8013

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Other providers in Boardman, OR

All providers in Boardman, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.