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

Mr. Glenn Laurence Levine, MD

Individual provider Surgery Physician · NPI 1801814769

Mr. Glenn Laurence Levine, MD is a Surgery Physician in Coquille, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

790 E 5th St
Coquille, OR 97423
Phone: (541) 396-3111
Fax: (541) 396-5891
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD162422 (OR)

Record details

NPI number1801814769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

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