DR. AARON MONTGOMERY (NPI# 1528384625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528384625 |
| Entity Type | Individual |
| Full Name | DR. AARON MONTGOMERY |
| Credential | D.C. |
| Practice Address |
1304 Nw Civic Dr Gresham OR 97030-5569 |
| Mailing Address |
1450 Ne Village St Fairview OR 97024-3827 |
| Practice Telephone | 5035121040 |
| Practice Fax Number | 5036627334 |
| Mailing Telephone | 5039836497 |
| Mailing Fax Number | 5035125420 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4015 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065609 | Aaron Montgomery | Counselor | 337 Sw Corporate Pkwy, Palm City, FL 34990 | 2020-05-21 |
| 1366932048 | Aaron Heath Montgomery | Dentist | 13053 W Thunderbird Rd, El Mirage, AZ 85335-3261 | 2018-05-17 |
| 1790988566 | Aaron Montgomery | Counselor | 124 Brianna Ct, Fisherville, KY 40023-6436 | 2007-06-07 |
| 1083247951 | Aaron A Montgomery | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-02-19 |
| 1346742798 | Aaron Peter Montgomery | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2018-03-01 |
| 1730688136 | Aaron Tyler Montgomery | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2018-02-12 |
| 1730315821 | Aaron Brandon Montgomery | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2009-06-03 |
| 1720132236 | Aaron R Montgomery | Psychologist | 401 The City Dr S, Orange, CA 92868-3303 | 2007-01-22 |
| 1144278169 | Aaron B. Montgomery | Radiology | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2006-05-04 |
| Street Address |
1304 NW CIVIC DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073631 | Active Motion Spine & Rehab LLC | Chiropractor | 1304 Nw Civic Dr, Gresham, OR 97030-5569 | 2019-09-25 |
| 1689109159 | Gallagher Smith | Massage Therapist | 1304 Nw Civic Dr, Gresham, OR 97030-5569 | 2017-04-21 |
| 1003274010 | Jessica Cabac | Massage Therapist | 1304 Nw Civic Dr, Gresham, OR 97030-5569 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502180 | Ruslan Perederey | Chiropractor | 3008 Sw Chastain Ave, Gresham, OR 97080-9613 | 2017-07-27 |
| 1922473719 | Amplife Chiropractic and Sports Chiropractic | Chiropractor | 355 Ne 223rd Ave, Gresham, OR 97030-8554 | 2015-12-05 |
| 1972996874 | Kari Johnston | Chiropractor | 1167 Nw Wallula Avenue, #316, Gresham, OR 97030 | 2015-03-17 |
| 1386047751 | Sylas Takamune | Chiropractor | 2519 W Powell Blvd, Gresham, OR 97030-6413 | 2014-09-30 |
| 1780923532 | Aspire Chiropractic & Massage Inc. | Chiropractor | 22124 Ne Glisan St, Gresham, OR 97030-8553 | 2013-02-13 |
| 1922370543 | Jordan William Wilde | Chiropractor | 191 Se Stark Street, Gresham, OR 97233-8386 | 2012-01-27 |
| 1487948212 | Delplato Chiropractic, PC | Chiropractor | 25500 Se Stark St Ste 201b, Gresham, OR 97030-8328 | 2011-06-09 |
| 1063704427 | Renewal Centers | Chiropractor | 1240 Ne Burnside Rd, Gresham, OR 97030-5713 | 2011-05-04 |
| 1326358417 | Shelley Anne Sheridan | Chiropractor | 250 Nw Norman Ave, Gresham, OR 97030-6953 | 2010-10-07 |
| 1396978011 | Brent Alan Dixson | Chiropractor | 899 Ne Hogan Dr, Gresham, OR 97030-5825 | 2009-08-27 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.