Individual
MR. ROBERT A MONTGOMERY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 NW HAWTHORNE AVE, GRANTS PASS, OR 97526
(541) 472-4884
Mailing address
5319 SW WESTGATE DR, 241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15475
ND
207L00000X
Anesthesiology Physician
35038
OK
207L00000X
Anesthesiology Physician
Primary
MD18872
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023807003
REGENCE BCBSO
OR
05
—
064626
—
OR
Enumeration date
06/07/2006
Last updated
04/20/2023
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