Individual
DR. JACOB IRVING GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1680 CHAMBERS ST STE 201, EUGENE, OR 97402-3655
(541) 683-3351
(541) 683-6440
Mailing address
1680 CHAMBERS ST STE 201, EUGENE, OR 97402-3655
(541) 683-3351
(541) 683-6440
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5897
CA
213E00000X
Podiatrist
EL6961
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP219527
OR
Other
Enumeration date
06/09/2020
Last updated
05/08/2024
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