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DR. GLENN GORDON MD
NPI 1538108261
General Practice in Springfield, OR

Active since June 06, 2006
2073 OLYMPIC ST, SPRINGFIELD, OR 97477(541) 682-3550 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Glenn Gordon Md NPPES

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

DR. GLENN GORDON MD (NPI 1538108261) is an individual general practice provider in Springfield, Oregon, licensed in Oregon (MD15934) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1538108261
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GLENN GORDONCredential: MD
Location Address2073 OLYMPIC STSpringfield, OR 97477
Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550
Phone(541) 682-3550
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 15, 2018
✔ NPI 1538108261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · MD15934
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD15934 (OR)
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD15934 (OR)
2073 OLYMPIC ST, Springfield, OR 97477
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Other Identifiers 10

Medicaid057141OR
Other76172Washington L&i
Medicaid8280034WA
OtherC89984Lipa
Other057221003Bcbs
OtherJ0475-05Pacific Source
OtherA018Champus
OtherC89984Group Health
OtherC89984Providence
MedicaidXPY185053CA

Other Providers at the Same Location NPPES 20

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

FRANCES K MOORE LPN
Licensed Practical Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3550
KRISTEN CHAMBERLAIN
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3350
VIVIAN ENYO DZATA NP
Nurse Practitioner (Pediatrics)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3550
SHARON TORRES
Student in an Organized Health Care Education/Training Program
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3550
RENEE L RHUMAN
Dental Hygienist
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3560
SHANNON L LAWLEY LPN
Licensed Practical Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3550
STEPHEN LYDDANE
Registered Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (541) 682-3550
MISS ANGELA YOLANDA MILLER RN
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Lane County (503) 682-7453

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 Gordon's NPI number?

The NPI number for Glenn Gordon is 1538108261. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Glenn Gordon located?

Glenn Gordon practices at 2073 Olympic St, Springfield, OR 97477. The listed phone number is (541) 682-3550.

What is Glenn Gordon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Glenn Gordon was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.