Individual
DAVID C GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
948 NE 102ND AVE, SUITE 103, PORTLAND, OR 97220-4064
(503) 257-8886
(503) 251-1892
Mailing address
11500 NE 76TH ST STE A3, PMB 7, VANCOUVER, WA 98662-3901
(503) 257-8886
(503) 251-1892
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DP00129
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001487000
REGENCE BLUE CROSS
OR
05
—
1006360
—
WA
05
—
16851-8
—
OR
01
—
756480632
MEDICARE RAILROAD
OR
01
—
93075402-9722-A002
TRICARE
OR
Enumeration date
05/17/2006
Last updated
10/15/2014
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