Individual
WILLIAM LUKE GREENE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 SE 100TH AVE, PORTLAND, OR 97266-2538
(404) 825-2320
Mailing address
4101 SE 100TH AVE, PORTLAND, OR 97266-2538
(404) 825-2320
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
17584
PA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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