Montoya-Chick, Marian N

Montoya-Chick, Marian N is an sole proprietor health care provider with primary practice located at 3627 Se Dockside Dr , Corvallis OR 97333-9346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Montoya-Chick, Marian N can be contacted via phone (541) 969-5954.

Contact Information

Primary practice address
3627 Se Dockside Dr Corvallis OR 97333-9346
Phone: (541) 969-5954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201707820NP-PP Oregon

Profile Details

NPI number 1720082209
LBN Legal business name Montoya-Chick, Marian N
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jul 28th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720082209 NPPES
Texas MEDICAID 042592802

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