Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Community Primary Care

Organization Primary Care Clinic/Center · NPI 1114480399

Glendale Community Primary Care is a Primary Care Clinic/Center in Glendale, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

101 1st St
Glendale, OR 97442-9640
Phone: (541) 832-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1114480399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leona Anderson — President · (541) 832-5400
NPI enumeratedApril 13, 2019
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing addressPo Box 293, Glendale, OR 97442-0293