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Dr. Glenn Gordon, MD
General Practice Physician in Springfield, Oregon
NPI 1538108261

Glenn Gordon is a General Practice Physician based in Springfield, OR. Glenn Gordon practices in Springfield, OR and has the professional credentials of MD. The NPI Number for Glenn Gordon is 1538108261 and holds a License No. MD15934 (Oregon).

The current practice location address for Glenn Gordon is 2073 Olympic St, Springfield, OR and can be reached out via phone at 541-682-3550.

Location: 2073 Olympic St, Springfield, OR, 97477-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538108261
Provider Name
Glenn Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2073 Olympic St, Springfield, OR, 97477-3413
Phone Number
541-682-3550
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
057141 05 OR
J0475-05 01 PACIFIC SOURCE
C89984 01 LIPA
76172 01 WASHINGTON L&I
057221003 01 BCBS
8280034 05 WA
A018 01 CHAMPUS
C89984 01 PROVIDENCE
C89984 01 GROUP HEALTH
XPY185053 05 CA
institution
Provider Business Practice Location Address Details
Address
2073 Olympic St
City
Springfield
State
Oregon
Zip
97477
Phone Number
541-682-3550
Fax Number
person
Provider Business Mailing Address Details
Address
2073 Olympic St
City
Springfield
State
Oregon
Zip
97477
Phone Number
541-682-3550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD15934 (Oregon)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD15934 (Oregon)
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 is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD15934 (Oregon)
Definition
Definition to come...
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