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

Dr. Tyler Justin Gluckman III, MD

Individual provider Cardiovascular Disease Physician · NPI 1790749422

Dr. Tyler Justin Gluckman III, MD is a Cardiovascular Disease (Cardiology) in Portland, Oregon. Graduated from Northwestern University Feinberg Medical School in 1997, 29 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Oregon.

Years since qualifying
29
Trained at
Northwestern University Feinberg Medical School
Licensed in
MD, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9427 SW Barnes Rd Ste 498
Portland, OR 97225-6652
Phone: (503) 216-0900
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD26695 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence D0058894 (MD)

Record details

NPI number1790749422
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESDecember 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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