Angela Marie Montgomery, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201607900LPN Issued in OR

Practice address

420 NE Mason St
Portland, OR 97211-3479

Phone

(971) 334-6293

Fax

(503) 546-9417

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1427568922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE MASON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113479",
            "telephone_number": "971-334-6293",
            "fax_number": "503-546-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE MASON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113479",
            "telephone_number": "971-334-6293",
            "fax_number": "503-546-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201607900LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Oneida Montes, LCSW
• Annelisse Montes, MD
• Brittany I Montes, LMT
• Stella C Monteverde-Cakebread
• Heidi J Montez, MS
• Brenton M Montgomery
• Erin Montgomery, PA-C
• Eva Jewel Montgomery
• Gwyneth Montgomery
• Jane Gallagher Montgomery, PT

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.