NPI 1255730495
Gerald Montgomery
Practice location
- Address
- 8495 Crater Lake Hwy, White City, OR 97503-3011
- Phone
- (541) 826-2111
- Fax
- (541) 830-7490
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1255730495
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Aug 2014
- Record last updated
- 10 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.