Individual
MICHAELINE MARIE GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-2902
(503) 413-5220
Mailing address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-2902
(503) 413-5220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD28410
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023633
—
OR
05
—
8521528
—
WA
Enumeration date
06/01/2007
Last updated
08/17/2011
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