Provider Demographics
NPI:1871376772
Name:MONTGOMERY, STERLING GUNNAR (DC)
Entity type:Individual
Prefix:DR
First Name:STERLING
Middle Name:GUNNAR
Last Name:MONTGOMERY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5147 W PRUFER CROSSCUT RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-9486
Mailing Address - Country:US
Mailing Address - Phone:408-835-5070
Mailing Address - Fax:
Practice Address - Street 1:9329 N NEWPORT HWY
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1215
Practice Address - Country:US
Practice Address - Phone:509-606-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61370225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor