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Contact Information

FREDERICK A MONTGOMERY MD INC PS
215 SO 11TH # D
YAKIMA, WA98902
 Phone: 509-248-6192
 Fax: 509-452-5433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FREDERICK A MONTGOMERY MD INC PS · (Female)

NPI Number 1457410961
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00009512
  • WA Medicaid 1591403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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