Individual
ERIN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9775 SW WILSHIRE ST, SUITE 200, PORTLAND, OR 97225-5067
(503) 646-0101
Mailing address
9775 SW WILSHIRE ST, SUITE 200, PORTLAND, OR 97225-5067
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2000
WI
363AS0400X
Surgical Physician Assistant
Primary
PA155264
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42886900
—
WI
Enumeration date
07/31/2006
Last updated
10/31/2014
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