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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

NPI # 1457410961
LBN Legal business name FREDERICK A MONTGOMERY MD INC PS
Authorized official FREDERICK MONTGOMERY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
WA License # MD00009512
WA Medicaid 1591403
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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