GREGORY LYNN GLASS (NPI# 1225650351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225650351 |
| Entity Type | Individual |
| Full Name | GREGORY LYNN GLASS |
| Practice Address |
1592 Monroe St North Bend OR 97459-3657 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5417562048 |
| Practice Fax Number | 5417562058 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353896 | Gregory Lee Glass | Family Medicine | 125 W Catawba Ave, Mount Holly, NC 28120-1601 | 2005-08-22 |
| 1518494822 | Gregory Clifton Glass | Pharmacist | 3456 Hillcrest Rd, Bldg B Ste D, Mobile, AL 36695 | 2017-05-17 |
| 1528143310 | Gregory R. Glass | Dentist | 400 Newport Center Dr, Suite 408, Newport Beach, CA 92660-7678 | 2006-10-27 |
| Street Address |
1592 MONROE ST |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386787596 | Columbiacare Services | Psychiatric Residential Treatment Facility | 1592 Monroe St, North Bend, OR 97459-3657 | 2007-02-15 |
| 1043858400 | Kelly Andrea Manz | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2019-12-17 |
| 1548806102 | Rosealee May Selfors | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2019-11-19 |
| 1639736044 | Kitina L Larsen | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2019-05-21 |
| 1710540760 | Marcia Heinzman | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2019-04-16 |
| 1285102129 | Carleen Hawthorne | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2018-11-08 |
| 1801362322 | Kimberly E Riddle | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2018-10-23 |
| 1447733092 | Jermiah G Hansen | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2018-09-10 |
| 1467969816 | Morina A Vonk | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2018-01-08 |
| 1427562933 | Shannon Loraine Durkee | Counselor | 1592 Monroe St, North Bend, OR 97459-3657 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667328 | Grant Judson Gill | Counselor | 1817 16th St, North Bend, OR 97459-2629 | 2020-07-27 |
| 1558738641 | Carol Ellen Wilson | Counselor | 713 Thrasher Ave Ne, North Bend, WA 98045-7919 | 2015-08-25 |
| 1366781361 | Melanie Ruth Middleton | Counselor | 1821 Garfield St, North Bend, OR 97459-1812 | 2013-02-11 |
| 1174894877 | David Paul Eck | Counselor | 46302 Se Mt Si Rd, North Bend, WA 98045-9726 | 2012-01-26 |
| 1093085110 | Angelene Logiudice | Counselor | 2345 Marion St, North Bend, OR 97459-2637 | 2012-01-05 |
| 1619278462 | Arla M Ford | Counselor | 3803 Vista Ct, North Bend, OR 97459-2465 | 2010-11-10 |
| 1710297619 | Laura M Adams | Counselor | 1913 Meade St, North Bend, OR 97459-3432 | 2010-10-14 |
| 1528228954 | Mary Ann Hanlon | Counselor | 1810 Monroe St, North Bend, OR 97459-3447 | 2008-06-10 |
| 1730210931 | Cynthia Ellen Parker | Counselor | 1840 Union Ave, North Bend, OR 97459-3422 | 2007-03-08 |
| 1093313280 | Jill Kathleen Merrill | Counselor | 1309 Bendigo Blvd N, North Bend, WA 98045-8945 | 2020-10-11 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on GREGORY LYNN GLASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.