Individual
JOAN S. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CIMI
Contact information
Practice address
1524 WILLAMETTE ST STE 202, EUGENE, OR 97401-4093
(541) 343-0823
Mailing address
1524 WILLAMETTE ST STE 202, EUGENE, OR 97401-4093
(541) 343-0823
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7660
OR
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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