Organization
METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
Active
Other names
Debra Glasser Green, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GLASSER GREEN M.D. (OWNER PHYSICIAN)
(503) 234-1531
Entity
Organization
Contact information
Practice address
5909 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 234-1531
(503) 234-2367
Mailing address
5909 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 234-1531
(503) 234-2367
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD12762
OR
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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