GERALD S GREEN

PORTLAND, OR
NPI1922044163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: OR  MD7312)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
GERALD S GREEN MD
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
Mailing Address
GERALD S GREEN MD
PO BOX 10768
PORTLAND, OR 97296-0768
Phone number: 503-227-2400
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