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Individual

ERIKA MICHELLE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984
Mailing address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10611444-3102
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
10611444-4405
UT

Other

Enumeration date
10/12/2021
Last updated
04/23/2026
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