Individual
MR. SEAN MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
981 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 758-0766
(541) 753-2737
Mailing address
981 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 758-0766
(541) 753-2737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00664
OR
Other
Enumeration date
06/16/2006
Last updated
09/24/2021
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