Individual
MR. JARED JAMES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
4800 S MACADAM AVE STE 260, PORTLAND, OR 97239-3913
(503) 593-4747
(833) 371-1506
Mailing address
PO BOX 9052, PORTLAND, OR 97207-9052
(503) 593-4747
(833) 371-1506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22127
OR
Other
Enumeration date
05/15/2016
Last updated
04/30/2026
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