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

Russell Adam Montgomery, BA

Individual provider Community Health Worker · NPI 1861269383

Russell Adam Montgomery, BA is a Community Health Worker in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1276 W River St Ste 100
Boise, ID 83702-7083
Phone: (208) 866-7981
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1861269383
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

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