MR. STEPHEN GLENN (NPI# 1619419942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619419942 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN GLENN |
| Credential | RPH |
| Practice Address |
3500 N Interstate Ave Portland OR 97227-1196 |
| Practice Telephone | 5033316186 |
| Practice Fax Number | 5033316187 |
| Mailing Telephone | 5033316186 |
| Mailing Fax Number | 5033316187 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH-0009671 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276151 | Stephen O Glenn | Dentist | 5319 S Lewis Ave, Suite 222, Tulsa, OK 74105-6500 | 2006-06-23 |
| 1811129133 | Stephen Andrew Glenn | Counselor | 8705 166th Ave Ne, Stillwater House, Redmond, WA 98052-3749 | 2009-08-20 |
| 1336149434 | Stephen B Glenn | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-29 |
| Street Address |
3500 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542009 | Gregory J Davenport | Physician Assistant | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2006-06-05 |
| 1922513910 | Emily A Vanlaningham | Social Worker | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2017-12-12 |
| 1770026023 | Debra Viegas | Pharmacist | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2016-11-18 |
| 1467903013 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2016-10-19 |
| 1871043422 | Robbi Shannon | Pharmacist | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2016-10-06 |
| 1801125521 | Lucie Krenek | Orthopaedic Surgery | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2009-12-08 |
| 1366779019 | Diana Muresan | Pulmonary Function Technologist | 3500 N Interstate Ave, Portland, OR 97227 | 2009-11-17 |
| 1811141880 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2008-11-04 |
| 1255581385 | Sheila Ann Jiroch | Respiratory Therapist, Registered | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2008-09-25 |
| 1407006471 | Richard A Corneliuz | Pulmonary Function Technologist | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2008-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265977086 | Robert Martini | Pharmacist | 18815 Ne Clackamas St, Portland, OR 97230-7138 | 2017-01-03 |
| 1477901643 | Shellie Weatherspoon | Pharmacist | 1040 Nw 22nd Ave Ste 100, Portland, OR 97210-3036 | 2016-05-29 |
| 1235757915 | Dustin J Clark | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2020-07-09 |
| 1518585199 | Kasey Rubin | Pharmacist | 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | 2020-07-09 |
| 1194377960 | Anne M Thibodeaux | Pharmacist | 4400 Ne Halsey St, Portland, OR 97213-1545 | 2019-07-11 |
| 1720645872 | Kirsten Kadoyama | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227 | 2019-05-23 |
| 1508422486 | Adam Rory Saulles | Pharmacist | 6348 Ne Halsey St, Portland, OR 97213-4720 | 2019-05-15 |
| 1295297018 | Victor Tran | Pharmacist | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-04-01 |
| 1679058564 | Rita Maria Parsiani | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-09-26 |
| 1598245151 | Kelsey Hawkins | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2018-08-14 |
| Find all providers in PORTLAND | ||||
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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.