Simon David Glass in Lake Oswego - Psychiatry
Simon David Glass - NPI 1790883452
Simon David Glass is a Psychiatry in Lake Oswego, Oregon. Simon David Glass practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Simon David Glass is 1790883452. The last update date is 2007-07-08.
Simon David Glass's current location address is 4500 Kruse Way, Lake Oswego, Oregon. You can contact this provider via phone number 5034755750 and fax number 5036360722. The mailing address for Simon David Glass is 4500 Kruse Way, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simon David Glass |
|---|---|
| Address | 4500 Kruse Way, Lake Oswego, Oregon |
| Phone Number | 5034755750 |
| Fax Number | 5036360722 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790883452 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 Kruse Way |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 97035 |
| Phone Number | 5034755750 |
| Fax Number | 5036360722 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 13416 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Simon David Glass by the Centers for Medicare & Medicaid Services?
The Simon David Glass has been issued the NPI (National Provider Identifier) 1790883452. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Simon David Glass is located?
The Simon David Glass is situated at the following address: 4500 Kruse Way, Lake Oswego, OR, 97035.
What is the Simon David Glass's specialty and taxonomy code?
The Simon David Glass's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did Simon David Glass receive its 1790883452 assignment from the Centers for Medicare & Medicaid Services?
The Simon David Glass was assigned its 1790883452 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Simon David Glass's information last updated?
The Simon David Glass's information was last updated on 2007-07-08.