Individual
DR. PHILIP P GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3925 SW 153RD DR, SUITE #100, BEAVERTON, OR 97006-4166
(503) 646-7101
(503) 646-7105
Mailing address
3925 SW 153RD DR, SUITE #100, BEAVERTON, OR 97006-4166
(503) 646-7101
(503) 646-7105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5048
OR
Other
Enumeration date
02/07/2007
Last updated
01/16/2008
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