Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Dale Montgomery, PA-C

Individual provider Physician Assistant · NPI 1104299601

Gary Dale Montgomery, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2013, 13 years ago. Practices with East Phillips County Hospital District, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
13
Licensed in
MI, WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12800 Bothell Everett Hwy Ste A
Everett, WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 903-3142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 N State St, Saint Ignace, MI 49781-1048 — (303) 390-1940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60577634 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 5601013078 (MI)

Record details

NPI number1104299601
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice East Phillips County Hospital District — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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