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GLENN S RODRIGUEZ MD
NPI 1730110602
Family Medicine in Portland, OR

Active since July 06, 2006
4104 SE 82ND AVE, STE 250, PORTLAND, OR 97266(503) 215-9850(503) 215-9855 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn S Rodriguez Md NPPES

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

GLENN S RODRIGUEZ MD (NPI 1730110602) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD16179) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1730110602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN S RODRIGUEZCredential: MD
Location Address4104 SE 82ND AVE, STE 250Portland, OR 97266-2954
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 215-9850
Fax(503) 215-9855
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 31, 2012
✔ NPI 1730110602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD16179
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.
4104 SE 82ND AVE, Portland, OR 97266
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Other Identifiers 2

Medicare UPINE79296
Medicaid000468OR

Other Providers at the Same Location NPPES 19

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

DR. NICOLE MARIE MCKAY D.M.D
Dentist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
CLAUDIA ADLER MD
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
MR. STOTZ THODA JR. D.O.
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
DOUGLAS E RAY FNP
Nurse Practitioner (Family)
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
CHARISSA E ROGERS MD
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, STE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
THOMAS M SCHWARTZ MD
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
MRS. CYNTHIA ANN ALLEN R.D.H.
Dental Hygienist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
MARIETTA H CHOE MD
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850

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 Rodriguez's NPI number?

The NPI number for Glenn Rodriguez is 1730110602. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Glenn Rodriguez located?

Glenn Rodriguez practices at 4104 SE 82nd Ave Ste 250, Portland, OR 97266. The listed phone number is (503) 215-9850.

What is Glenn Rodriguez'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 Rodriguez was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.