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1801809389
CAROL A GREEN
PORTLAND, OR
NPI
1801809389
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Former Name
CAROL A TAILLON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR OR 091006551N1)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- CAROL A GREEN MSN FNP
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
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Mailing Address
-- CAROL A GREEN MSN FNP
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
Copy
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