CRAIG S MONTGOMERY PHD PC NPI 1407146350

NPI Information

  • NPI: 1407146350
  • Provider Name: CRAIG S MONTGOMERY PHD PC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1326 NW CIVIC DR
    GRESHAM, OR
    ZIP 97030
  • Phone: (503) 661-7733

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NPI Details

CRAIG S MONTGOMERY PHD PC is an adult mental health clinic center in Gresham, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CRAIG S MONTGOMERY PHD PC NPI is 1407146350. The provider is registered as an organization entity type.

The provider's business location address is:

1326 NW CIVIC DR
GRESHAM, OR
ZIP 97030-569
Phone: (503) 661-7733
Fax: (503) 661-7890

The provider's authorized official is Craig S Montgomery .
The authorized official title is President and has the following contact phone number (503) 661-7733.

The enumeration date for this NPI number is 4/12/2011 and was last updated on 4/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health530OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R58679MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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