Individual
MR. DONALD REX MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
25030 SW PARKWAY AVE, SUITE 123, WILSONVILLE, OR 97070-9816
(503) 582-1073
Mailing address
4111 NE ALAMEDA ST, PORTLAND, OR 97212-2910
(503) 284-5811
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01767
OR
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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