Glen Ritchie Stream, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD13357 Issued in OR

Practice address

12518 NE Airport Way
Portland, OR 97230-1078

Phone

(503) 256-2992

Fax

(503) 258-0717

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Medical Center PS

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1740321553
  NPD

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1609068899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12518 NE AIRPORT WAY",
            "address_2": "CONCENTRA MEDICAL CENTERS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-256-2992",
            "fax_number": "503-258-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12518 NE AIRPORT WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301078",
            "telephone_number": "503-256-2992",
            "fax_number": "503-258-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREAM",
        "first_name": "GLEN",
        "middle_name": "RITCHIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD13357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elisabeth Strawn
• Katie Shea Strawn, PNP-PC
• Katrina Strawn
• Liesel Strayer, RPH
• Jaroslav P Strba, MD
• Christopher M. Strear, MD
• Aaron Streblow
• Cassilyn Elizabeth Streblow, PHARMD
• Mary Eileen Street
• Michael James Street, BSRN

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.