JOHN KENNETH GLENN (NPI# 1043319676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043319676 |
| Entity Type | Individual |
| Full Name | JOHN KENNETH GLENN |
| Credential | PA-C |
| Practice Address |
2460 Ne Griffin Oaks St Suite D1000 Hillsboro OR 97124-2672 |
| Mailing Address |
1409 Franklin St Suite 103 Vancouver WA 98660-2899 |
| Practice Telephone | 3602131301 |
| Mailing Telephone | 3602131301 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003835 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272030 | John Edward Glenn | Massage Therapist | 1434 29th Ave, Seattle, WA 98122-3202 | 2010-04-07 |
| 1437282191 | John Glenn Jr. | Ophthalmology | 2901 E 29th St Ste 101, Bryan, TX 77802-2691 | 2007-03-13 |
| 1780713891 | John Glenn Iv | Chiropractor | 105 Louviers Dr, Newark, DE 19711-4163 | 2007-03-05 |
| 1194765420 | John A Glenn Jr. | Family Medicine | 840 Professional Center Dr, Eastman, GA 31023-6734 | 2006-06-07 |
| 1821056433 | John L Glenn | General Practice | 84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078 | 2006-05-03 |
| 1457348047 | John D Glenn | Pharmacist | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2005-09-29 |
| 1043681349 | John Glenn | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
| 1457779266 | John Molloy Glenn IIi | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2014-03-31 |
| 1265677942 | John B Glenn IIi | Chiropractor | 3440 Bell St, Suite 122, Amarillo, TX 79109-4142 | 2008-12-09 |
| 1225188030 | John David Glenn | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-12 |
| Street Address |
2460 NE GRIFFIN OAKS ST SUITE D1000 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417056094 | Sleep Health & Wellness Nw-hillsboro | Clinic/Center | 2460 Ne Griffin Oaks St, Suite D 1000, Hillsboro, OR 98660 | 2006-09-21 |
| 1154613420 | Alternative Sleep Health, Inc | Durable Medical Equipment & Medical Supplies | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2011-05-05 |
| 1629360169 | Ash, LLC | Durable Medical Equipment & Medical Supplies | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2011-05-03 |
| 1275822801 | Advanced Sleep Health, LLC | Clinic/Center | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2011-04-05 |
| 1710008362 | Sleep Health & Wellness Nw-hillsboro | Durable Medical Equipment & Medical Supplies | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2007-04-02 |
| 1376673012 | Arete Nw LLC | Durable Medical Equipment & Medical Supplies | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2007-03-06 |
| 1275662322 | Arete Sleep Therapy Nw LLC | Durable Medical Equipment & Medical Supplies | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2007-03-05 |
| 1821123027 | Azita Fakher | Nurse Practitioner | 2460 Ne Griffin Oaks St, Suite D-1000, Hillsboro, OR 97124-2672 | 2007-02-21 |
| 1700962008 | Arete Nw LLC | Clinic/Center | 2460 Ne Griffin Oaks St, D-1000, Hillsboro, OR 97124-2672 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| 1083223200 | Samantha Mueller | Physician Assistant | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2020-07-23 |
| 1043793581 | Caitlyn Erickson | Physician Assistant | 545 Se Oak St Ste F, Hillsboro, OR 97123-4147 | 2018-09-11 |
| 1881106136 | Megan Caroline Margeson | Physician Assistant | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-10-26 |
| 1538618285 | Ashley Elizabeth Scaglione | Physician Assistant | 10279 Business 21, Hillsboro, MO 63050-3598 | 2016-09-22 |
| 1427455765 | Erin Ann Carey | Physician Assistant | 19075 Nw Tanasbourne Dr, Suite #200, Hillsboro, OR 97124-5860 | 2014-12-02 |
| 1144626953 | Nell Thyrza Rafalovich | Physician Assistant | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2014-11-06 |
| 1013311497 | Joel Horst | Physician Assistant | 5295 Ne Elam Young Pkwy, Suite 180, Hillsboro, OR 97124-7567 | 2014-10-14 |
| 1750782157 | Joseph Benjamin Wills | Physician Assistant | 19075 Nw Tanasbourne Dr, Suite 200, Hillsboro, OR 97124-5860 | 2014-09-05 |
| 1235578626 | Kimberly Fordney | Physician Assistant | 6244 Ne Brighton St, Hillsboro, OR 97124-5076 | 2013-06-18 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.