William Russell Greene M.D.

NPI 1487057790 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1487057790
Gender Male
Enumeration Date 09/30/2014
Last Updated 09/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2239 NE 19TH AVE
PORTLAND OR, 97212-4616, US
Phone (503) 284-0730
Fax
Business Location
2239 NE 19TH AVE
PORTLAND OR, 97212-4616, US
Phone (503) 284-0730
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Mississippi
License Number 07307
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According to our database, William Russell Greene M.D. NPI is 1487057790, taxonomy code is 207V00000X and license number is 07307, license state is located at Mississippi. William Russell Greene M.D. physically located at 2239 Ne 19th Ave, Portland OR, 97212-4616. NPI Number William Russell Greene M.D. has the Individual type.

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1487057790 NPI number is provided on an as is basis without warranty of any kind. 1487057790 is maintained by the National Plan & Provider Enumeration System. The contents of William Russell Greene M.D. are for informational purposes only.