DR. GLENN MICHAEL KOTEEN M.D.
NPI 1366458028
Specialist in Bend, OR

Q: What is Glenn Koteen's NPI number?

The NPI number for Glenn Koteen is 1366458028. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Glenn Koteen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Koteen was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 01, 2006

2450 NE MARY ROSE PL STE 210, BEND, OR 97701(541) 728-0535 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Glenn Michael Koteen M.d. NPPES

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

DR. GLENN MICHAEL KOTEEN M.D. (NPI 1366458028) is an individual specialist in Bend, Oregon and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366458028

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GLENN MICHAEL KOTEENCredential: M.D.

Location Address2450 NE MARY ROSE PL STE 210Bend, OR 97701-7133

Mailing Address2450 Ne Mary Rose Pl Ste 210Bend, OR 97701-7133 · (541) 728-0535

Phone(541) 728-0535

Sole ProprietorYes

Enumeration DateAugust 1, 2006

Last NPPES UpdateNovember 17, 2008

✔ NPI 1366458028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2450 NE MARY ROSE PL STE 210, Bend, OR 97701

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Other Identifiers 3

Medicaid022737OR

Medicare ID-Type Unspecified120175OR

Medicare UPINA37244OR

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 Koteen's NPI number?

The NPI number for Glenn Koteen is 1366458028. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Glenn Koteen located?

Glenn Koteen practices at 2450 NE Mary Rose Pl Ste 210, Bend, OR 97701. The listed phone number is (541) 728-0535.

What is Glenn Koteen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Glenn Koteen was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.