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NPI Code Detail

MEDICARE: JULIAN S MONTANEZ APRN, PMHNP-BC

MEDICARE: JULIAN S MONTANEZ APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner319989AZ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner61636245WA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner10036063OR

General Provider Information

NPI Number : 1336969351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN S MONTANEZ APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 2850 SW CEDAR HILLS BLVD # 2273
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-1354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15211 NE 72ND AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98686-1929
Country : US
Telephone Number : 360-209-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 10/04/2025

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