Simon Glass, MD

NPI 1790883452 · on the registry since 2006

Practice

Address: 4500 Kruse Way
Suite 100
Lake Oswego, OR 97035
Phone: (503) 475-5750
Fax: (503) 636-0722
Organisation at this address: Odyssey Healthcare Operating A Lp
Maloney'S Custom Ocular Prosthetics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon