Individual
CONNOR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
202 LISTER ST, CAVE JUNCTION, OR 97523-9047
(541) 592-6220
Mailing address
PO BOX 774, GRANTS PASS, OR 97528-0066
(541) 476-4010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6253
OR
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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