Glickman, Samuel R.

Glickman, Samuel R. is an individual health care provider with primary practice located at 25050 Se Stark Street Legacy Mt Hood Multispecialty Clinic, Gresham OR 97030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Glickman, Samuel R. can be contacted via phone (503) 413-5702.

Contact Information

Primary practice address
25050 Se Stark Street Legacy Mt Hood Multispecialty Clinic Gresham OR 97030
Phone: (503) 413-5702
Fax: (503) 413-6499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD177588 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 265576 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912149790
LBN Legal business name Glickman, Samuel R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2009
Last updated Aug 23rd, 2016 - about 8 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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