MEDICARE: MONTANA MAICHEL LMP, CIMI

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
1	174400000X	Specialist	MA 60091741	WA

General Provider Information

NPI Number	:	1902139421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONTANA MAICHEL LMP, CIMI

Provider Business Mailing Address
First Line	:	6013 LAKE SAINT CLAIR DR SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98513-9219
Country	:	US
Telephone Number	:	360-402-1788
Fax Number	:

Provider Business Practice Location Address
First Line	:	6013 LAKE SAINT CLAIR DR SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98513-9219
Country	:	US
Telephone Number	:	360-402-1788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	09/16/2009

Similar Medicare Providers

1215934054 — ALISON J SPENCER MD
Practice Location Address:

4816 SHE NAH NUM DR SE
OLYMPIA, WA
98513-9105

Practice Phone: 360-459-5312
Practice Fax: 360-456-1557

1821070046 — BETH WILDER OTR/L
Practice Location Address:

7618 FAIR OAKS RD SE
OLYMPIA, WA
98513-6421

Practice Phone: 360-493-2006
Practice Fax:

1518920800 — KATHLEEN M HOWELL LMFT
Practice Location Address:

5841 OCTAVE CT SE
OLYMPIA, WA
98513-8815

Practice Phone: 360-480-6733
Practice Fax:

1538122346 — MR. JERRY A. BRAVERMAN PAC
Practice Location Address:

1037 CHATHAM DR SE
OLYMPIA, WA
98513

Practice Phone: 931-338-2607
Practice Fax:

1427007434 — DR. MELINDA LOUISE BEHRENS MD
Practice Location Address:

2148 HUNTINGTON LOOP SE
OLYMPIA, WA
98513-3490

Practice Phone: 360-456-0912
Practice Fax: 253-968-0384

1336240902 — MARCHELL RENE SPIELMANN ARNP
Practice Location Address:

1546 RESERVATION RD SE
OLYMPIA, WA
98513-9415

Practice Phone: 253-565-0130
Practice Fax: 253-565-0130

Directions to “ MONTANA MAICHEL LMP, CIMI” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.