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

Samuel R. Glickman, MD

Individual provider Pulmonary Disease Physician · NPI 1912149790

Samuel R. Glickman, MD is a Pulmonary Disease in Gresham, Oregon. Graduated from Warren Alpert Medical School of Brown University in 2009, 17 years ago. Practices with Scripps Health Inpatient Providers Medical Group Inc, a 208-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Oregon.

Years since qualifying
17
Trained at
Warren Alpert Medical School of Brown University
Licensed in
NY, OR
In the registry since
2009
Specialties on file
3
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

25050 SE Stark Street Legacy Mt Hood Multispecialty Clinic
Gresham, OR 97030
Phone: (503) 413-5702
Fax: (503) 413-6499
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD177588 (OR)
Hospitalist Physician Taxonomy 208M00000X · Licence 265576 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912149790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2009
Last updated in NPPESAugust 23, 2016
Mailing address25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Scripps Health Inpatient Providers Medical Group Inc — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare