Glass, Andrew D

Glass, Andrew D is an individual health care provider with primary practice located at 16770 Sw Edy Rd Suite 102, Sherwood OR 97140-9678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Glass, Andrew D can be contacted via phone (503) 215-9600.

Contact Information

Primary practice address
16770 Sw Edy Rd Suite 102 Sherwood OR 97140-9678
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001849 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO21335 Oregon

Profile Details

NPI number 1437103223
LBN Legal business name Glass, Andrew D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437103223 NPPES
Oregon Other P00946511 RR MEDICARE
Oregon MEDICAID 8463606 RR MEDICARE
Oregon MEDICAID 288469 RR MEDICARE

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