| Andrew D Glass, DO | |
|
16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9678 | |
| (503) 215-9600 | |
| Not Available |
| Full Name | Andrew D Glass |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 16770 Sw Edy Rd, Sherwood, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437103223 | NPI | - | NPPES |
| P00946511 | Other | OR | RR MEDICARE |
| 8463606 | Medicaid | WA | |
| 288469 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001849 (Washington) | Secondary |
| 207Q00000X | Family Medicine | DO21335 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew D Glass, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Andrew D Glass, DO 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9678 Ph: (503) 215-9600 |
Cheryl Catherine Pierson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Dr. Patricia Eden Fernandez Millan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Amy L Gerhard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Lindsay Megan Sparks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Raymond F Higby, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Derrick Evan Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 |