Individual
JULIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2080
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01034
TX
363A00000X
Physician Assistant
Primary
PA214203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083656367
CURRY MEDICAL CENTER'S NPI
OR
01
—
1487696985
CURRY GENERAL HOSPITAL'S NPI
OR
Enumeration date
04/06/2006
Last updated
05/09/2023
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