| Craig S Montgomery Phd Pc | |
|
1326 Nw Civic Dr Gresham OR 97030-5569 | |
| (503) 661-7733 | |
| (503) 661-7890 |
| Full Name | Craig S Montgomery Phd Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1326 Nw Civic Dr, Gresham, Oregon |
| Authorized Official Name and Position | Craig S Montgomery (PRESIDENT) |
| Authorized Official Contact | 5036617733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig S Montgomery Phd Pc 1326 Nw Civic Dr Gresham OR 97030-5569 Ph: (503) 661-7733 | Craig S Montgomery Phd Pc 1326 Nw Civic Dr Gresham OR 97030-5569 Ph: (503) 661-7733 |
| NPI Number | 1407146350 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407146350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 530 (Oregon) | Primary |
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