Tualatin Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD164199 Issued in OR

Legal business name

TUALATIN INTERNAL MEDICINE

Practice address

6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762

Phone

(503) 272-8825

Fax

(503) 427-9321

NPI assigned

Jun 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam N Glaser, MDNPI 1346536299

Title

Physician

Phone

(503) 272-8825

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam N Glaser, M.D.

  • Internal Medicine Physician
  • Tualatin, OR
  • NPI 1346536299
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Berens, MSN-FNP

  • Family Nurse Practitioner
  • Tualatin, OR
  • NPI 1386253276
  Medicare reassignment Care Compare group NPD
• Anita R Cintron Rivera, PA

  • Medical Physician Assistant
  • Tualatin, OR
  • NPI 1851793236
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053832162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-272-8825",
            "fax_number": "503-427-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-272-8825",
            "fax_number": "503-427-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUALATIN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-272-8825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD164199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500673474",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Tsukamaki
• Tualatin Chiropractic & Naturopathic Clinic P C
• Tualatin Dental Care, P.C.
• Tualatin Eye Associates PC
• Tualatin Imaging P C
• Tualatin Medical Suppplies
• Tualatin Modern Dentistry,PC (Tualatin Modern Dentistry)
• Tualatin Pediatric Dentistry
• Tualatin Physical Therapy & Sports Rehab Inc
• Tualitin Senior Care LLC (River Valley Landing)

• Internal Medicine Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.