Individual
JUNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-5077
Mailing address
19500 SE STARK STREET, PORTLAND, OR 97233
(503) 669-5077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24511
OR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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