Organization
GREEN MOUNTAIN MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN GEORGE GRIFFITH D.O. (PRESIDENT)
(541) 782-4201
Entity
Organization
Contact information
Practice address
48260 HILLS ST, OAKRIDGE, OR 97463-9409
(541) 782-4201
(541) 782-4203
Mailing address
48260 HILLS ST, OAKRIDGE, OR 97463-9409
(541) 782-4201
(541) 782-4203
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO10127
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231498
—
OR
Enumeration date
11/20/2007
Last updated
10/20/2010
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