Individual
DR. COLIN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1001 SW 5TH AVE, SUITE 222, PORTLAND, OR 97204-1147
(503) 222-5355
Mailing address
1101 SE TECH CENTER DR, VANCOUVER, WA 98683-5504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7099
OR
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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