Organization
CRAIG S MONTGOMERY PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S MONTGOMERY PHD (PRESIDENT)
(503) 661-7733
Entity
Organization
Contact information
Practice address
1326 NW CIVIC DR, GRESHAM, OR 97030-5569
(503) 661-7733
(503) 661-7890
Mailing address
1326 NW CIVIC DR, GRESHAM, OR 97030-5569
(503) 661-7733
(503) 661-7890
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
530
OR
Other
Enumeration date
04/12/2011
Last updated
04/18/2011
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