NPI | 1386785772 |
---|---|
Former Legal Business Name | DEBRA GLASSER GREEN, M.D. |
Entity Type | Organization |
Authorized Contact | DEBRA GLASSER GREEN Owner Physician 503-234-1531 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD12762) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |