# TUALATIN INTERNAL MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053832162
- **Authorized official:** ADAM N GLASER MD (PHYSICIAN)
- **Authorized official phone:** (503) 272-8825

## Contact information

- **Practice address:** 6485 SW BORLAND RD STE B, TUALATIN, OR 97062-9762
- **Practice address phone:** (503) 272-8825
- **Practice address fax:** (503) 427-9321
- **Mailing address:** 6485 SW BORLAND RD STE B, TUALATIN, OR 97062-9762
- **Mailing address phone:** (503) 272-8825
- **Mailing address fax:** (503) 427-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD164199 | OR | Yes |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 07/21/2022