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Individual

ROBERT C GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Mailing address
1001 W CURLY HOLLOW DR UNIT 81, ST GEORGE, UT 84770-7558
(503) 442-7933

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG225885
OR

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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