Individual
FREDERICK N. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 MARTIN LUTHER KING JR PKWY, SPRINGFIELD, OR 97477-7514
(541) 485-2777
(541) 246-2353
Mailing address
PO BOX 70368, SPRINGFIELD, OR 97475-0120
(541) 485-2777
(541) 246-2353
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124297
—
OR
Enumeration date
07/12/2006
Last updated
08/06/2013
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