Provider Demographics
NPI:1588638787
Name:MONTMINY, RICHARD JOHN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOHN
Last Name:MONTMINY
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:4320 196TH ST SW STE B
Mailing Address - Street 2:PMB# 304
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6754
Mailing Address - Country:US
Mailing Address - Phone:425-774-8758
Mailing Address - Fax:425-672-8944
Practice Address - Street 1:4320 196TH ST SW STE D
Practice Address - Street 2:US HEALTHWORKS MEDICAL GROUP
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6753
Practice Address - Country:US
Practice Address - Phone:425-774-8758
Practice Address - Fax:425-672-8944
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME563072083A0100X
NMMD200907222083P0500X, 208D00000X
WAMD603944472083A0100X, 2083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice