Organization
FREDERICK A MONTGOMERY MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A MONTGOMERY MD (PRESIDENT)
(509) 248-6192
Entity
Organization
Contact information
Practice address
215 SO 11TH # D, YAKIMA, WA 98902
(509) 248-6192
(509) 452-5433
Mailing address
215 SO 11TH # D, YAKIMA, WA 98902
(509) 248-6192
(509) 452-5433
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD00009512
WA
2084P0800X
Psychiatry Physician
MD00009512
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00009512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1591403
—
WA
Enumeration date
12/08/2006
Last updated
09/11/2025
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