Individual
MS. DEIDRE I GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3521 NW SAMARITAN DR, SUITE 201, CORVALLIS, OR 97330-4744
(541) 768-5140
(541) 768-5391
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200050064NP
OR
363LA2200X
Adult Health Nurse Practitioner
094006506RN
OR
Other
Enumeration date
06/22/2006
Last updated
04/17/2023
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