Individual
BROOKLYN M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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