Individual provider · Type 1 NPI

Gary Dale Montgomery, PA-C

Physician Assistant · Everett, WA

NPI number 1104299601 Active

Practice location

12800 Bothell Everett Hwy, Ste A
Everett, WA 98208-6642

Fax (425) 903-3142

Mailing address

PO Box 827
Bellevue, WA 98009-0827

Other practice locations

  • 1140 N State St, St. Ignace, MI 49781-1048 · (303) 390-1940

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601013078 (MI)
Physician Assistant Primary 363A00000XPA60577634 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104299601

Gary Dale Montgomery, PA-C's National Provider Identifier is 1104299601, issued on Nov 5, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Everett, WA. The record was last updated on May 20, 2025.