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General NPI Number Information
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NPI Number | 1336969351
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Entity Type | Individual
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Provider Name | JULIAN S MONTANEZ APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 15211 NE 72ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98686-1929
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Country | US
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Telephone | 360-209-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 SW CEDAR HILLS BLVD # 2273
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City | BEAVERTON
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State | OR
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Zip | 97005-1354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 319989
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 61636245
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10036063
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License Number State | OR
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