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

Glenn Yamagata

Individual provider Peer Specialist · NPI 1689415374

Glenn Yamagata is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8832 SE 16th Ave
Portland, OR 97202-7219
Phone: (503) 486-7377
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1689415374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address8832 Se 16th Ave, Portland, OR 97202-7219

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