Individual
DR. MICHAEL SEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 QUARRY RD, LAKE OSWEGO, OR 97035-3359
(503) 635-1604
(503) 635-6659
Mailing address
PO BOX 12366, PORTLAND, OR 97212-0366
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD18372
OR
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
MD18372
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081799
—
OR
Enumeration date
09/14/2006
Last updated
04/01/2026
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