Dr Glenn Gordon, MD | |
2073 Olympic St, Springfield, OR 97477 | |
(541) 682-3550 | |
Not Available |
Full Name | Dr Glenn Gordon |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2073 Olympic St, Springfield, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538108261 | NPI | - | NPPES |
057141 | Medicaid | OR | |
J0475-05 | Other | PACIFIC SOURCE | |
C89984 | Other | LIPA | |
76172 | Other | WASHINGTON L&I | |
057221003 | Other | BCBS | |
8280034 | Medicaid | WA | |
A018 | Other | CHAMPUS | |
C89984 | Other | PROVIDENCE | |
C89984 | Other | GROUP HEALTH | |
XPY185053 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD15934 (Oregon) | Secondary |
207Q00000X | Family Medicine | MD15934 (Oregon) | Secondary |
208D00000X | General Practice | MD15934 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn Gordon, MD 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550 | Dr Glenn Gordon, MD 2073 Olympic St, Springfield, OR 97477 Ph: (541) 682-3550 |
Dewayde Perry, MD General Practice Medicare: Medicare Enrolled Practice Location: 1401 Market St # B, Springfield, OR 97477 Phone: 541-255-3205 Fax: 888-864-3381 | |
Dr. Richard Whalen, MD General Practice Medicare: Medicare Enrolled Practice Location: 960 N 16th St, Ste. 304, Springfield, OR 97477 Phone: 541-746-7914 |