MEDICARE: MS. MICHELLE MONTGOMERY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1700279106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE MONTGOMERY LCSW

Provider Business Mailing Address
First Line	:	6866 JESSICA DR APT SUITE
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97478-8300
Country	:	US
Telephone Number	:	714-222-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	4328 SE 47TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-4060
Country	:	US
Telephone Number	:	714-222-1020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	12/10/2025

Similar Medicare Providers

1861717332 — LYNN A SMITH-STOTT CDP
Practice Location Address:

709 NW EVERETT , BLDG 17, STE 222
PORTLAND, OR
97209-4060

Practice Phone: 503-226-4060
Practice Fax: 503-445-4913

1144841982 — DR. KRYSTAL LYNN LA PLANTE DC
Practice Location Address:

5308 SE RHONE ST
PORTLAND, OR
97206-2962

Practice Phone: 760-429-4226
Practice Fax: 503-775-2451

1417778044 — ROOTED CHIROPRACTIC & WELLNESS, LLC
Practice Location Address:

5308 SE RHONE ST
PORTLAND, OR
97206-2962

Practice Phone: 503-775-6885
Practice Fax: 503-775-2451

1134565138 — MS. JACKIE LYNN BAIN B.S.
Practice Location Address:

2521 SE 74TH AVE
PORTLAND, OR
97206-1150

Practice Phone: 503-726-3706
Practice Fax:

1770445520 — CLAYTON RIDNER
Practice Location Address:

7916 SE FOSTER RD STE 201
PORTLAND, OR
97206-4289

Practice Phone: 503-465-2749
Practice Fax:

1811859564 — PRO CHIROPRACTIC LLC
Practice Location Address:

4035 SE 52ND AVE STE B
PORTLAND, OR
97206-3913

Practice Phone: 971-229-2140
Practice Fax: 971-233-6416

Directions to “ MS. MICHELLE MONTGOMERY LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.