Individual
DR. PETER WILLIAM GLENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1594 EDGEWATER STREET NW, SUITE 190, SALEM, OR 97304-4656
(503) 779-2119
(503) 779-1195
Mailing address
1430 WILLAMETTE STREET #17, EUGENE, OR 97401-4049
(541) 762-2763
(541) 434-0912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1903ATI
OR
Other
Enumeration date
05/24/2006
Last updated
10/16/2019
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