Individual
CHRISTOPHER EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
16770 SW EDY RD STE 102, SHERWOOD, OR 97140-9679
(503) 216-9600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10018124
OR
Other
Enumeration date
08/09/2022
Last updated
09/30/2024
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