Individual
DR. JASON M GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE FL 3, PORTLAND, OR 97227-1623
(503) 279-9300
(503) 276-9351
Mailing address
2801 N GANTENBEIN AVE FL 3, PORTLAND, OR 97227-1623
(503) 279-9300
(503) 276-9351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101242313
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD150195
OR
390200000X
Student in an Organized Health Care Education/Training Program
0116016654
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053526210
—
VA
Enumeration date
05/11/2007
Last updated
12/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us