Individual
GLEN R PATRIZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 WOODS CT STE 102, HOOD RIVER, OR 97031-2919
(541) 436-2960
(541) 436-2961
Mailing address
4355 W RIDGE DR, HOOD RIVER, OR 97031-7734
(541) 705-7505
(971) 244-9050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD24391
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD24391
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD60191672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227266
—
OR
Enumeration date
11/18/2005
Last updated
10/09/2023
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