Individual
JOHN CALVIN GREEN-HAUDENSHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 W STEWART AVE, UNIT 1, MEDFORD, OR 97501
(541) 261-8061
Mailing address
112 E MAIN ST, ROGUE RIVER, OR 97537-9419
(541) 678-4263
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OR
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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