Individual
MIKE A GREENE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
65 W 30TH AVE, EUGENE, OR 97405-3373
(541) 342-5901
Mailing address
65 W 30TH AVE, EUGENE, OR 97405-3373
(541) 342-5901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9878
OR
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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