Individual
CLARE A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
510 SUPERIOR AVE, STE 200B, NEWPORT BEACH, CA 92663-3663
(949) 791-3001
(949) 791-3096
Mailing address
510 SUPERIOR AVE, STE 200B, NEWPORT BEACH, CA 92663-3663
(949) 791-3001
(949) 791-3096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11841
CA
207Q00000X
Family Medicine Physician
DO23355
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286263
—
OR
Enumeration date
08/17/2006
Last updated
06/12/2013
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