Individual
MR. EDWARD CARL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CWOCN
Contact information
Practice address
5004 FOOTHILLS RD, APT E, LAKE OSWEGO, OR 97034-3156
(503) 720-9891
Mailing address
5004 FOOTHILLS RD, APT E, LAKE OSWEGO, OR 97034-3156
(503) 720-9891
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
200542242RN
OR
163WW0000X
Wound Care Registered Nurse
RN 60087413
WA
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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