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TUALATIN INTERNAL MEDICINE
NPI 1053832162
Internal Medicine in Tualatin, OR

Active since June 28, 2017CLIA 38D2136622 · Waiver
6485 SW BORLAND RD STE B, TUALATIN, OR 97062(503) 272-8825(503) 427-9321 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Tualatin Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUALATIN INTERNAL MEDICINE (NPI 1053832162) is a healthcare organization registered as an internal medicine in Tualatin, Oregon and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Adam N Glaser, Physician, as its authorized official.

NPPES Registry Identity

NPI1053832162
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTUALATIN INTERNAL MEDICINE
Location Address6485 SW BORLAND RD STE BTualatin, OR 97062-9762
Mailing Address6485 Sw Borland Rd Ste BTualatin, OR 97062-9762 · (503) 272-8825 · Fax (503) 427-9321
Phone(503) 272-8825
Fax(503) 427-9321
Organization SubpartNo
Authorized OfficialAdam N GlaserPhysician · (503) 272-8825
Enumeration DateJune 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1053832162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD164199
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6485 SW BORLAND RD STE B, Tualatin, OR 97062
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Other Identifiers 1

Medicaid500673474OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2136622

Tualatin Internal Medicine · Tualatin, OR
Active · expires Sep 11, 2027
CLIA Number38D2136622
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorDr. Adam N. Glaser MD
Laboratory Phone(503) 272-8825
Laboratory LocationTualatin Internal Medicine6485 SW Borland Road Suite B, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN A KEMALYAN MD FACS
Surgery
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 468-3222
ADAM N GLASER M.D.
Internal Medicine
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 272-8825
ADAM BERENS MSN-FNP
Nurse Practitioner (Family)
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 272-8825
DR. MICHELLE BLEYNAT VESSELY M.D
Otolaryngology (Plastic Surgery within the Head & Neck)
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 692-1190
ANITA R CINTRON RIVERA PA
Physician Assistant (Medical)
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 272-8825
DR. MELISSA M KOUNINE D.O.
Orthopaedic Surgery
6485 SW BORLAND RD STE B
TUALATIN, OR 97062
Washington County (503) 609-0443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tualatin Internal Medicine's NPI number?

The NPI number for Tualatin Internal Medicine is 1053832162. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is Tualatin Internal Medicine located?

Tualatin Internal Medicine is located at 6485 SW Borland Rd Ste B, Tualatin, OR 97062. The listed phone number is (503) 272-8825.

What is Tualatin Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Tualatin Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2136622) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tualatin Internal Medicine accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tualatin Internal Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tualatin Internal Medicine was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.