Samuel R. Glickman, M.D.

NPI #1912149790 in Gresham, Oregon

Provider Information

NPI Number: 1912149790
Entity Type: Individual
Name: Samuel R. Glickman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Pulmonary Disease
Credential: M.D.
Enumeration Date: Mar 25, 2009
Last Updated: Aug 23, 2016

Practice Location

Address: 25050 SE STARK STREET
Address 2: LEGACY MT HOOD MULTISPECIALTY CLINIC
City: Gresham
State: Oregon
ZIP Code: 97030
Phone: (503) 413-5702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary
Hospitalist	208M00000X
Student in an Organized Health Care Education/Training Program	390200000X

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