National Provider Identifier Database

GLENN S HUERTA ENOCHIAN, MD – NPI #1477597250
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

GLENN S HUERTA ENOCHIAN, MD
3680 NW SAMARITAN DR
CORVALLIS, OR97330-3737
Phone: 541-754-1150
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for GLENN S HUERTA ENOCHIAN

NPI Number 1477597250
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 06/15/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • OR License #: MD14081
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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