Individual
MRS. DANA R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 N RIVERSIDE AVE STE 207, MEDFORD, OR 97501-6024
(541) 690-4104
Mailing address
16 N RIVERSIDE AVE STE 207, MEDFORD, OR 97501-6024
(541) 690-4104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
202113687LPN
OR
225700000X
Massage Therapist
Primary
19945
OR
225700000X
Massage Therapist
MA00018764
WA
376K00000X
Nurse's Aide
NA00168643
WA
Other
Enumeration date
03/10/2009
Last updated
03/24/2026
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