Active NPI
David Jonathan Glidden, MD
- Anatomic Pathology & Clinical Pathology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD154288
- Practice address
- 1015 NW 22ND Ave
Portland, OR 97210-3025 - Phone
- (503) 268-4802
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD60290250 | WA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD154288 | OR | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD430045 | PA |
Addresses
Primary practice location
1015 NW 22ND Ave
Portland, OR 97210-3025
Mailing address
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 268-4802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Univ of Rochester School of Dental Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cascade Pathology Services Corp
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-6120
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-4339
665 Winter St SE
Building B 2ND FL
Salem, OR 97301-5014
Phone (503) 561-5350
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Salmon Creek Medical Center
- Legacy Mount Hood Medical Center
- Legacy Emanuel Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD430045 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Pathology Services, Corp | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cascade Pathology Services, Corp | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pacific Pathology Associates, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
665 Winter St SE
Bldg B
Salem, OR 97301
Phone (503) 561-5350
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Salem, OR
- NPI 1205997889
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, OR
- NPI 1154465656
-
- Anatomic Pathology & Clinical Pathology Physician
- Vancouver, WA
- NPI 1568618239
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1811052863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 NW 22ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103025",
"telephone_number": "503-268-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NW 22ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103025",
"telephone_number": "503-268-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIDDEN",
"first_name": "DAVID",
"middle_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD60290250",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OR",
"license": "MD154288",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD430045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
- 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.