Individual
DR. ANTHONY LAURENCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1011 DESPERADO TRL STE 202, SISTERS, OR 97759-9580
(541) 588-6200
(541) 588-6201
Mailing address
PO BOX 747, SISTERS, OR 97759-0747
(541) 588-6200
(541) 588-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3756
OR
Other
Enumeration date
09/19/2007
Last updated
01/21/2009
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