Individual
ANGELLA DININA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 814-3889
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001606349NP/PP
OR
363LF0000X
Family Nurse Practitioner
RN186231
GA
Other
Enumeration date
09/30/2016
Last updated
12/28/2018
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