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

Robert W Montgomery, CRNA

Individual provider Registered Nurse · NPI 1053680157

Robert W Montgomery, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with Tuality Anesthesia Services LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
14
Licensed in
OR, TN
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-8368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201402450CRNA (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN167051 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 88013 (TN)

Record details

NPI number1053680157
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 19, 2011
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Tuality Anesthesia Services Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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