Search › Oregon › Psychiatry Physician
Edward Green, M.D
NPI 1477559102 · on the registry since 2005 · sole proprietor
Practice
- Address
- 4037 Ne Tillamook St
Portland, OR 97212 - Phone
- (503) 736-3292
- Fax
- (503) 736-3307
- Organisation at this address
- Revamp Creative, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon