Glass, Sarah Tanaka

Glass, Sarah Tanaka is an individual health care provider with primary practice located at 1955 Nw Northrup St , Portland OR 97209-1614. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Glass, Sarah Tanaka can be contacted via phone (503) 227-2020.

Contact Information

Primary practice address
1955 Nw Northrup St Portland OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD204309 Oregon

Profile Details

NPI number 1588195259
LBN Legal business name Glass, Sarah Tanaka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated Sep 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588195259 NPPES
Oregon MEDICAID 500794226
Oregon Other R227666

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