PROVIDENCE MEDICAL GROUP GLISAN – Internal Medicine Physician, NPI 1841466141
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PROVIDENCE MEDICAL GROUP GLISAN
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
PO BOX 31001 - 4180
PASADENA, CA 911104180
Phone:
Type: Mailing
5330, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213-1422, United States
SUITE 100
PORTLAND, OR 972133069
Phone: (503) 215-9706
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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