Individual
DR. SIMON DAVID GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 KRUSE WAY, SUITE 100, LAKE OSWEGO, OR 97035
(503) 475-5750
(503) 636-0722
Mailing address
4500 KRUSE WAY, SUITE 100, LAKE OSWEGO, OR 97035
(503) 475-5750
(503) 636-0722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13416
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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