Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL R. GLICKMAN, M.D.
ActiveSAMUEL R. GLICKMAN, M.D. is a Pulmonary Disease healthcare provider located in GRESHAM, Oregon. NPI 1912149790 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · GRESHAM, OR
Registration Details
- NPI Number
- 1912149790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2009 (17.421443032171 yrs)
- Last Updated
- Aug 23, 2016
- Licenses
-
MD177588 (OR)265576 (NY)
Practice Information
- Address
-
25050 SE STARK STREETLEGACY MT HOOD MULTISPECIALTY CLINICGRESHAM, OR, 97030Browse OR providers · Browse ZIP 97030
- Phone
- 5034135702
- Fax
- 5034136499
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.