MEDICARE: MARIA ANDREA MONTERA LMT, RMTI

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	225700000X	Massage Therapist	8313	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8313	OTHER	OR	STATE LICENSE

General Provider Information

NPI Number	:	1780855387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ANDREA MONTERA LMT, RMTI

Provider Business Mailing Address
First Line	:	PO BOX 2017
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-1918
Country	:	US
Telephone Number	:	503-882-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 NW 185TH AVE STE 100
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97229-3492
Country	:	US
Telephone Number	:	503-882-8081
Fax Number	:

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

Provider Enumeration Date	:	03/22/2008
Last Update Date	:	07/07/2022

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