Glenn S Rodriguez in Portland - Family Medicine
Glenn S Rodriguez - NPI 1730110602
Glenn S Rodriguez is a Family Medicine in Portland, Oregon. Glenn S Rodriguez practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glenn S Rodriguez is 1730110602. The last update date is 2012-07-31.
Glenn S Rodriguez's current location address is 4104 Se 82nd Ave, Portland, Oregon. You can contact this provider via phone number 5032159850 and fax number 5032159855. The mailing address for Glenn S Rodriguez is 4104 Se 82nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn S Rodriguez |
|---|---|
| Address | 4104 Se 82nd Ave, Portland, Oregon |
| Phone Number | 5032159850 |
| Fax Number | 5032159855 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730110602 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2012-07-31 |
Provider Mailing Address Detail
| Address | 4104 Se 82nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972662954 |
| Phone Number | 5032159850 |
| Fax Number | 5032159855 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD16179 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 468 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Glenn S Rodriguez by the Centers for Medicare & Medicaid Services?
The Glenn S Rodriguez has been assigned the NPI (National Provider Identifier) 1730110602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Glenn S Rodriguez?
The Glenn S Rodriguez is physically situated at 4104 Se 82Nd Ave, in the city of Portland, state of OR, with the postal code 972662954.
What is Glenn S Rodriguez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenn S Rodriguez's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Glenn S Rodriguez receive its 1730110602 assignment from the Centers for Medicare & Medicaid Services?
The Glenn S Rodriguez was assigned its 1730110602 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Glenn S Rodriguez's information last updated?
The Glenn S Rodriguez's information was last updated on 2012-07-31.