Individual provider · Type 1 NPI

John Kenneth Glenn, PA-C

Medical Physician Assistant · Hillsboro, OR

NPI number 1043319676 Active

Practice location

2460 NE Griffin Oaks St, Suite D1000
Hillsboro, OR 97124-2672

Mailing address

1409 Franklin St, Suite 103
Vancouver, WA 98660-2899

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10003835 (WA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1043319676

John Kenneth Glenn, PA-C's National Provider Identifier is 1043319676, issued on Sep 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hillsboro, OR. The record was last updated on Jul 8, 2007.