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GLENN O MORTENSEN MD
NPI 1184634669
Family Medicine in Logan, UT

Active since August 08, 2006
1750 N 1000 E, LOGAN, UT 84341(435) 757-1516 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn O Mortensen Md NPPES

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

GLENN O MORTENSEN MD (NPI 1184634669) is an individual family medicine provider in Logan, Utah, licensed in Utah (1609171205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184634669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN O MORTENSENCredential: MD
Location Address1750 N 1000 ELogan, UT 84341-1909
Mailing Address1750 N 1000 ELogan, UT 84341-1909 · (435) 757-1516
Phone(435) 757-1516
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 19, 2016
✔ NPI 1184634669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 1609171205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1750 N 1000 E, Logan, UT 84341
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Other Identifiers 2

Medicare UPINC63389UT
Medicare PIN000063434UT

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 Glenn Mortensen's NPI number?

The NPI number for Glenn Mortensen is 1184634669. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Glenn Mortensen located?

Glenn Mortensen practices at 1750 N 1000 E, Logan, UT 84341. The listed phone number is (435) 757-1516.

What is Glenn Mortensen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glenn Mortensen was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.