JEFF C GREEN

SILETZ, OR
NPI1053059352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  8371309)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
JEFF C GREEN
200 GWEE SHUT RD
SILETZ, OR 97380-2036
Phone number: 541-444-9613
Mailing Address
JEFF C GREEN
200 GWEE SHUT RD
SILETZ, OR 97380-2036
Phone number: 541-444-9613
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