Individual
KENDRA IRENE ELLIOTT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
9701 SW BARNES RD STE 200, PORTLAND, OR 97225-6689
(503) 734-3700
(503) 473-8462
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
10013339
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500825634
—
OR
Enumeration date
02/19/2021
Last updated
01/28/2026
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