ERIN MONTGOMERY PA-C NPI 1508872607

NPI Information

NPI: 1508872607
Provider Name: ERIN MONTGOMERY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9775 SW WILSHIRE ST
SUITE 200
PORTLAND, OR
ZIP 97225
Phone: (503) 646-0101
Get Directions

Erin Montgomery, PA-C is a surgical physician assistant in Portland, OR. Erin Montgomery, PA-C NPI is 1508872607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9775 SW WILSHIRE ST
SUITE 200
PORTLAND, OR
ZIP 97225-067
Phone: (503) 646-0101

The NPI 1508872607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/31/2014.

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
1	363AM0700X	Physician Assistant	Medical	2000	WISCONSIN	No
2	363AS0400X	Physician Assistant	Surgical	PA155264	OREGON	Yes

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
1	Q70446	MEDICARE UPIN
2	42886900	MEDICAID	WISCONSIN
3	1007 73601	MEDICARE PIN	WISCONSIN

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: 11/14/2023

NPI Synchronization or Removal

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