IndividualActive
Gerald Montgomery
NPI 1255730495 · Recreation Therapist · White City, OR
Provider details
- NPI number
- 1255730495
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Fax: (541) 830-7490
Approximate (ZIP-level) locationGet directions
Mailing address
8495 Crater Lake Hwy
White City, OR 97503-3011
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2021-06-10
- Certified
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.