Individual
DR. EDWARD F GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4037 NE TILLAMOOK ST, PORTLAND, OR 97212-5341
(503) 736-3292
(503) 736-3307
Mailing address
4037 NE TILLAMOOK ST, PORTLAND, OR 97212-5341
(503) 736-3292
(503) 736-3307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13381
OR
Other
Enumeration date
06/27/2005
Last updated
12/06/2007
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