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NPI Code Detail

MEDICARE: MS. DEBRA L GLASSER M.D.

MEDICARE:  MS. DEBRA L GLASSER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD12762OR

General Provider Information

NPI Number : 1700956232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA L GLASSER M.D.
Provider Business Mailing Address
First Line : 5909 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-1470
Country : US
Telephone Number : 503-234-1531
Fax Number : 503-234-2367
Provider Business Practice Location Address
First Line : 5909 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-1470
Country : US
Telephone Number : 503-234-1531
Fax Number : 503-234-2367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 01/19/2012

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Directions to “ MS. DEBRA L GLASSER M.D.” Practice Location

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