Individual
ERIN J MONTGOMERY
Active
Individual
ERIN J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1446
ID
363AM0700X
Medical Physician Assistant
PA198079
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245782416
—
ID
05
—
500762276
—
OR
Enumeration date
11/03/2016
Last updated
09/04/2026
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