Glass, Graham D

Glass, Graham D is an individual health care provider with primary practice located at 222 Ne Park Plaza Dr Siute 100, Vancouver WA 98684-5895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Glass, Graham D can be contacted via phone (360) 254-8025.

Contact Information

Primary practice address
222 Ne Park Plaza Dr Siute 100 Vancouver WA 98684-5895
Phone: (360) 254-8025
Fax: (360) 254-8618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00037803 Washington

Profile Details

NPI number 1306882147
LBN Legal business name Glass, Graham D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 30th, 2022 - about 4 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 1306882147 NPPES
Washington MEDICAID 8244923
Washington Other 110187987

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