Provider Demographics
NPI:1568721165
Name:MONTOURE, CATHALENE R (RN)
Entity Type:Individual
Prefix:
First Name:CATHALENE
Middle Name:R
Last Name:MONTOURE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98844-0575
Mailing Address - Country:US
Mailing Address - Phone:509-476-2566
Mailing Address - Fax:
Practice Address - Street 1:2006 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:WA
Practice Address - Zip Code:98844-9511
Practice Address - Country:US
Practice Address - Phone:509-476-2566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00138793163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice