Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Glen Stanley Roseborough, MD

Vascular Surgery Physician in Salem, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518903186

Verified

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Registry record

Entity type Individual (Type 1)

Name Glen Stanley Roseborough

Credential MD

Sex Male

Practice address 2480 Liberty St Ne, Suite 110, Salem, OR, 97301

Phone (503) 371-1756

Fax (503) 584-7971

Enumeration date Jun 21, 2006

Last updated in NPPES Nov 13, 2024

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD150190 (OR) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License MD150190 (OR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P00800072	Other	OR	RAILROAD MEDICARE
500612667	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Glen Roseborough?

The National Provider Identifier (NPI) for Glen Roseborough is 1518903186, a Type 1 (individual) record in the CMS NPPES registry.

Where does Glen Roseborough practice?

The practice location on file with NPPES is in Salem, OR. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Wallace Lai Clinical Cardiac Electrophysiology Physician · Salem, OR NPI 1578503249 Willamette Open Imaging, LLC Radiology Clinic/Center · Salem, OR NPI 1790726636 Poly Chen Interventional Pain Medicine Physician · Salem, OR NPI 1255421467 Alyce Huntsinger Family Nurse Practitioner · Salem, OR NPI 1932310216 Pacific Spine & Rehab, LLC Medical Specialty Clinic/Center · Salem, OR NPI 1992999536 Priscilla Walters Clinical Social Worker · Salem, OR NPI 1982841565 Pain Care Specialists, PC Pain Medicine (Anesthesiology) Physician · Salem, OR NPI 1023243474 Janelle Zych Physical Therapist · Salem, OR NPI 1326464181

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-13.