Myers, Gloria Jean

Myers, Gloria Jean is an individual health care provider with primary practice located at 2400 Sw Vermont St , Portland OR 97219-1940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Myers, Gloria Jean can be contacted via phone (503) 452-0915.

Contact Information

Primary practice address
2400 Sw Vermont St Portland OR 97219-1940
Fax: (503) 768-9232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD14716 Oregon

Profile Details

NPI number 1750381265
LBN Legal business name Myers, Gloria Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 16th, 2007 - about 19 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 1750381265 NPPES
Oregon MEDICAID 202838

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