Individual
GLENN IRA BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 WELCH ST, SILVERTON, OR 97381
(503) 873-8853
(503) 873-8355
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5333
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
37327
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD160464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4068112
BLUE CROSS OF TN
—
Enumeration date
07/18/2005
Last updated
09/02/2015
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