Individual
GRAHAM D GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 NE PARK PLAZA DR, SIUTE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110187987
RAILROAD MEDICARE
WA
05
—
8244923
—
WA
Enumeration date
06/21/2006
Last updated
12/30/2022
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