Individual provider · Type 1 NPI

Glen M. Rogers, PA-C

Surgical Physician Assistant · Seattle, WA

NPI number 1598733172 Active

Practice location

550 17th Ave Fl 5
Seattle, WA 98122-5788

Call (206) 320-2800 Map

Fax (206) 320-2827

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Other practice locations

  • 751 NE Blakely Dr Ste 4020, Issaquah, WA 98029-6201 · (206) 623-0922

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60299909 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60299909 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1598733172

Glen M. Rogers, PA-C's National Provider Identifier is 1598733172, issued on Mar 9, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Jan 12, 2026.