Individual
STUART MEAD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 340, PORTLAND, OR 97213-2983
(503) 234-9861
(503) 238-0873
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD22455
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD22455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2232283
—
WA
05
—
288362
—
OR
Enumeration date
07/08/2005
Last updated
11/05/2024
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