Individual
JONATHAN EDWARD GREENLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 SW CHILDS RD, TIGARD, OR 97224-7713
(503) 692-8700
(503) 692-8710
Mailing address
7300 SW CHILDS RD, TIGARD, OR 97224-7713
(503) 692-8700
(503) 692-8710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD16631
OR
Other
Enumeration date
07/07/2005
Last updated
08/27/2012
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