Healthcare Provider Details

I. General information

NPI: 1891626842
Provider Name (Legal Business Name): PATRICIA MONTOYA MONTOYA VILLEGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11070 SE ALEXANDER AVE
HAPPY VALLEY OR
97086-7098
US

IV. Provider business mailing address

11070 SE ALEXANDER AVE
HAPPY VALLEY OR
97086-7098
US

V. Phone/Fax

Practice location:
  • Phone: 425-268-9413
  • Fax:
Mailing address:
  • Phone: 415-996-6105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: