| Doctor Name: | MS. SHAE NOELLE MONTEGNA |
| NPI Number: | 1245319169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | OR PA00727 |
| Business Practice Address: | 16180 Se Sunnyside Rd Suite 102 Happy Valley, OR - 970156301 |
| Business Phone Number: | 5035824900 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OR PA00727 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |