Individual
DR. GLENN ALAN GREEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-5024
Mailing address
12029 HAZELDELL AVE, OREGON CITY, OR 97045-7117
(503) 518-3303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14605
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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