Glenn Ruminson M.D. PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 9408 Issued in OR

Legal business name

GLENN RUMINSON M.D. PC

Practice address

10123 SE Market St
Portland, OR 97216-2532

Phone

(360) 263-5420

Fax

(360) 263-5406

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Ruminson, M.D.

Title

President

Phone

(360) 263-5420

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1679607618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87670",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986877670",
            "telephone_number": "360-263-5420",
            "fax_number": "360-263-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "360-263-5420",
            "fax_number": "360-263-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN RUMINSON M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "RUMINSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-263-5420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD 9408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057760",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Glazunov, DMD
• Celeste M Gleason, BSW
• Jamie H Gleason
• Todd Gleason, CADC
• Elizabeth Alison Gleave, LPN
• Char Glenn, M.D.
• Christine Genevieve Glenn, PHD.
• Colin Glenn, D.D.S.
• Linda Diane Glenn, CNM
• Stephen Glenn, RPH

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.