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Individual

ROBIN ELIZABETH MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
PORTLAND VA MEDICAL CENTER, 3710 SW US VETERANS HOSP. RD P3GS, PORTLAND, OR 97239
(503) 220-8262
Mailing address
3400 NW HOLBROOK CT, PORTLAND, OR 97229-8068
(503) 384-0826

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00437
OR

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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