Healthcare Provider Details

I. General information

NPI: 1245782416
Provider Name (Legal Business Name): ERIN J MONTGOMERY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN J MURPHY PA-C

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 W EAST AVE
CHICO CA
95926-2002
US

IV. Provider business mailing address

207 N BUTTE ST
WILLOWS CA
95988-2803
US

V. Phone/Fax

Practice location:
  • Phone: 530-896-9400
  • Fax: 530-896-9407
Mailing address:
  • Phone: 530-896-9400
  • Fax: 530-896-9407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA198079
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA-1446
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: