Individual
TIMOTHY GLASCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 757-8068
Mailing address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 757-8068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
10/15/2014
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