Glenn, John Kenneth

Glenn, John Kenneth is an sole proprietor health care provider with primary practice located at 2460 Ne Griffin Oaks St Suite D1000, Hillsboro OR 97124-2672. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Glenn, John Kenneth can be contacted via phone (360) 213-1301.

Contact Information

Primary practice address
2460 Ne Griffin Oaks St Suite D1000 Hillsboro OR 97124-2672
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003835 Washington

Profile Details

NPI number 1043319676
LBN Legal business name Glenn, John Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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