Individual provider · Type 1 NPI

Tyler Justin Gluckman Iii, MD

Cardiovascular Disease Physician · Portland, OR

NPI number 1790749422 Active

Practice location

9427 SW Barnes Rd, Suite 498
Portland, OR 97225-6652

Call (503) 216-0900 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XD0058894 (MD)
Cardiovascular Disease Physician Primary 207RC0000XMD26695 (OR)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1790749422

Tyler Justin Gluckman Iii, MD's National Provider Identifier is 1790749422, issued on Apr 12, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2012.