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

Mark Montgomery, MPA

Individual provider Peer Specialist · NPI 1073358636

Mark Montgomery, MPA is a Peer Specialist in Cottage Grove, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1115 W Main St
Cottage Grove, OR 97424-1915
Phone: (541) 942-2217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1073358636
Entity typeIndividual (Type 1)
GenderMale
Credentials MPA
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1115 W Main St, Cottage Grove, OR 97424-1915

Other providers in Cottage Grove