DR. GLENN S. HUERTA-ENOCHIAN


Address: 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737
Phone: 5417541150

DR. GLENN S. HUERTA-ENOCHIAN (NPI# 1477597250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477597250
Entity Type Individual
Full Name DR. GLENN S. HUERTA-ENOCHIAN
Credential M.D.
Practice Address 3680 Nw Samaritan Dr
Corvallis
OR 97330-3737
Mailing Address 444 Nw Elks Dr
Corvallis
OR 97330-3745
Practice Telephone 5417541150
Mailing Telephone 5417541150
Enumeration Date 2006-06-15
Last Update Date 2016-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
MD14081 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 3680 NW SAMARITAN DR
City CORVALLIS
State OR
Zip Code 97330-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508852252 Patricia Shannon Hopson Internal Medicine 3680 Nw Samaritan Dr, Corvallis, OR 97330 2005-09-27
1568007649 Miriam Geneva Powell Specialist/Technologist, Other 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2019-11-12
1043853948 Elise Noel Bascom Psychologist 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2019-10-23
1881252252 Jennifer Marie Giles Surgery 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2019-05-31
1316503774 Naomi Elizabeth Shantz Nurse Practitioner 3680 Nw Samaritan Dr, Corvallis, OR 97330 2019-05-11
1134613110 Maddison Marie Greaves Dietitian, Registered 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2018-06-21
1831631522 Joshua Bergh Physician Assistant 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2016-11-10
1063961373 Elisabeth Romatz Mahmud Registered Nurse 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2016-09-27
1689127045 Nicolette Rosendahl Neuromusculoskeletal Medicine & OMM 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2016-08-02
1003271727 Laura Luczkiw Dietitian, Registered 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 2015-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235754912 Miya Claborn Counselor 4495 Se Hwy 20, Corvallis, OR 97330 2020-06-09
1548889017 Greydi Olvera Counselor Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 2020-04-14
1053953992 Andie Marie Gaipo Counselor 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 2019-10-11
1740847177 Stephen Jack Eccles Behavior Technician Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 2019-05-21
1750944815 Tiffany Rene Flinchpaugh Counselor Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 2019-04-15
1679035455 Isaiah Mile Cassidy Counselor Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 2019-04-02
1982168399 Haylee Cramblit Counselor Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 2019-01-30
1457835365 Ashley Alyn Couch Counselor 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 2018-09-18
1104318898 Megan Gerding Technician, Other 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 2018-05-30
1700377108 Pacific Hearing Services Audiologist 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 2018-05-22
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629010996 Jess W. Hickerson Obstetrics & Gynecology 400 Nw Walnut Blvd, Suite 300, Corvallis, OR 97330-3874 2006-06-12
1255751160 Cynthia A Noble Md PC Obstetrics & Gynecology 2298 Nw Kings Blvd, Corvallis, OR 97330-3923 2014-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1649775610 Asma S. Ahmad, Md, LLC Obstetrics & Gynecology 4160 Sw Charming Way, Portland, OR 97225-2025 2018-03-29
1780021899 Grapevine Womens Health and Gynecology, LLC Obstetrics & Gynecology 5880 Ne Cornell Rd Ste C, Hillsboro, OR 97124-9075 2013-05-30
1861717290 Richard Malcolm Thorne Obstetrics & Gynecology 1295 Victoria Falls Dr, Redmond, OR 97756-8287 2010-03-29
1194975078 Mid-columbia Medical Center Obstetrics & Gynecology 1730 E. 12th St, The Dalles, OR 97058 2008-09-26
1477729754 Lithia Women's Healthcare LLC Obstetrics & Gynecology 725 N. Main St., Ashland, OR 97520-1752 2008-05-06
1164695953 Leonard Laskow Obstetrics & Gynecology 1939 Tamarack Pl, Ashland, OR 97520-3542 2008-04-11
1164600243 Northwest Gynecology Associates,llc Obstetrics & Gynecology 4660 Ne Belknap Ct Ste 109, Hillsboro, OR 97124-8402 2008-01-31
1033323613 Laila Raad Sillay Obstetrics & Gynecology 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 2007-05-10
1528181625 Emily Christina Culbert Obstetrics & Gynecology 4626 Se Salmon St, Portland, OR 97215-2542 2007-04-06
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Competitor

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City CORVALLIS
Zip Code 97330

Improve Information

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Dataset Information

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.

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