Robin Elizabeth Montgomery, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00437 Issued in OR

Practice address

Portland VA Medical Center
3710 SW US Veterans Hosp. Rd P3GS
Portland, OR 97239

Phone

(503) 220-8262

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portland VA Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1376636217
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235289703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW HOLBROOK CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298068",
            "telephone_number": "503-384-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTLAND VA MEDICAL CENTER",
            "address_2": "3710 SW US VETERANS HOSP. RD P3GS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Vera Montgomery, BCBA
• Logan Gill Montgomery, QMHA
• Michelle Montgomery, LCSW
• Robert L Montgomery
• Robert W Montgomery, CRNA
• Rosalyn Marie Montgomery, M.D.
• Samara Montgomery
• Stuart Mead Montgomery, M.D.
• Gabriel Kazuo Monti, MD
• Helen Montie, MSN, APRN, CPNP-PC

• Surgical Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.