Individual
DR. CORINNE DENISE GLASSGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60286796
WA
207Q00000X
Family Medicine Physician
Primary
OP60456733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020850
—
WA
Enumeration date
06/12/2012
Last updated
04/07/2021
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