Organization · Type 2 NPI

Craig S Montgomery PHD PC

Adult Mental Health Clinic/Center · Gresham, OR

NPI number 1407146350 Active

Practice location

1326 NW Civic Dr
Gresham, OR 97030-5569

Fax (503) 661-7890

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X530 (OR)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1407146350

Craig S Montgomery PHD PC's National Provider Identifier is 1407146350, issued on Apr 12, 2011. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Gresham, OR. The record was last updated on Apr 18, 2011.