Individual
PATRICIA G GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1321 NE 99TH AVE, STE 200, PORTLAND, OR 97220-9440
(503) 215-4250
(503) 215-4255
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14329
AK
363LF0000X
Family Nurse Practitioner
Primary
201250060NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP02573
—
AK
Enumeration date
09/28/2006
Last updated
08/06/2012
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