Patrizio, Glen R

Patrizio, Glen R is an sole proprietor health care provider with primary practice located at 1625 Woods Ct Ste 102 , Hood River OR 97031-2919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Patrizio, Glen R can be contacted via phone (541) 436-2960.

Contact Information

Primary practice address
1625 Woods Ct Ste 102 Hood River OR 97031-2919
Phone: (541) 436-2960
Fax: (541) 436-2961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD24391 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD24391 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD60191672 Washington

Profile Details

NPI number 1962484592
LBN Legal business name Patrizio, Glen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Oct 9th, 2023 - about 2 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 1962484592 NPPES
Oregon MEDICAID 227266

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