MR. GLEN MARVIN INTERMILL CRNFA NPI 1992877963

NPI Information

  • NPI: 1992877963
  • Provider Name: MR. GLEN MARVIN INTERMILL, CRNFA
  • Classification: Registered Nurse - 163WR0006X
  • Specialization: Registered Nurse First Assistant
  • Entity Type: Individual
  • Address: 1222 CRAIGLEA DR
    EAGLE POINT, OR
    ZIP 97524
  • Phone: (541) 535-3820

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NPI Details

MR. Glen Marvin Intermill, CRNFA is a registered nurse first assistant registered nurse in Eagle Point, OR. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. MR. Glen Marvin Intermill, CRNFA NPI is 1992877963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1222 CRAIGLEA DR
EAGLE POINT, OR
ZIP 97524-617
Phone: (541) 535-3820
Fax: (541) 535-3821

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WR0006XRegistered NurseRegistered Nurse First AssistantOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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