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Jessica Montalvo

Community Health Worker in Salem, OR. Individual provider (NPI-1).

NPI number1154875391
StatusActive
Last updated in NPPESAug 4, 2016

Details

NPI
1154875391
Entity type
Individual (NPI-1)
Name
Jessica Montalvo
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2016
Last updated
Aug 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker6321825ORYes

Practice location

3180 Center St Ne
Salem, OR 97301-4592

Phone 503-588-5342

Mailing address

4592 Verda Ln Ne # 2
Keizer, OR 97303-2445

Phone 503-980-8446

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