Individual
MILES W GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
2152 NW 15TH CT # ANA, GRESHAM, OR 97030-4818
(971) 806-6337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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