Most Relevant Information
Provider Data
NPI Number: | 1003370883 |
Provider Name: | STEPHEN PAUL MONTOURE CDPT |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 01/25/2019 |
Last Updated: | 07/14/2020 |
Provider Practice Location
224 E WISHKAH ST
ABERDEEN
WA
985206513
Practice Location Phone/Fax
Phone: | 3605329050 |
Fax: |
Provider Mailing Location
516 E. 1ST ST.
ABERDEEN
WA
98520
Provider Mailing Phone/Fax
Phone: | 8777746565 |
Fax: |