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GLENDALE COMMUNITY PRIMARY CARE
NPI 1114480399
Clinic/Center - Primary Care in Glendale, OR

Active since April 13, 2019
101 1ST ST, GLENDALE, OR 97442(541) 832-5400 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2020, Jun 11, 2019, Apr 13, 2019 (3 updates tracked since 2019).

About Glendale Community Primary Care NPPES

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

GLENDALE COMMUNITY PRIMARY CARE (NPI 1114480399) is a healthcare organization registered as a primary care in Glendale, Oregon and active in the NPI registry since April 2019. The organization lists Leona Marie Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1114480399
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGLENDALE COMMUNITY PRIMARY CARE
Location Address101 1ST STGlendale, OR 97442-9640
Mailing AddressPo Box 293Glendale, OR 97442-0293 · (541) 832-5400
Phone(541) 832-5400
Organization SubpartNo
Authorized OfficialLeona Marie AndersonPresident · (541) 832-5400
Enumeration DateApril 13, 2019
Last NPPES UpdateAugust 10, 20203 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1114480399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
101 1ST ST, Glendale, OR 97442
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Other Providers at the Same Location NPPES 2

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

SVETLANA VITUS
Family Medicine
101 1ST ST
GLENDALE, OR 97442
Douglas County (541) 832-5400
DR. LEONA MARIE ANDERSON DNP, AGPCNP-C
Nurse Practitioner (Primary Care)
101 1ST ST
GLENDALE, OR 97442
Douglas County (541) 832-5400

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 Glendale Community Primary Care's NPI number?

The NPI number for Glendale Community Primary Care is 1114480399. It was assigned to this organization in the NPPES registry on April 13, 2019.

Where is Glendale Community Primary Care located?

Glendale Community Primary Care is located at 101 1st St, Glendale, OR 97442. The listed phone number is (541) 832-5400.

What is Glendale Community Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Glendale Community Primary Care was last updated on August 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.