Individual
NADIA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3836 SE YAMHILL ST, PORTLAND, OR 97214-4355
(503) 552-5119
Mailing address
3836 SE YAMHILL, PORTLAND, OR 97214
(503) 442-5119
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
21977
OR
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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