Gerald S Green, MD - Radiology in Portland, OR

Gerald S Green, MD is a Radiology - Diagnostic Radiology physician based in Portland, Oregon. Gerald S Green is licensed to practice in Oregon (license number MD7312) and his current practice location is 1015 Nw 22nd Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 413-7711.

NPI number for Gerald S Green is 1922044163 and his current mailing address is Po Box 10768, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922044163.

Contact Information

Gerald S Green, MD
1015 Nw 22nd Ave,
Portland, OR 97210-3025
(503) 413-7711
(503) 227-0218

Map and Direction




Physician's Profile

Full NameGerald S Green
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1015 Nw 22nd Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922044163
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gerald S Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922044163NPI-NPPES
263798MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD7312 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gerald S Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerald S Green, MD
Po Box 10768,
Portland, OR 97296-0768

Ph: (503) 227-2400
Gerald S Green, MD
1015 Nw 22nd Ave,
Portland, OR 97210-3025

Ph: (503) 413-7711

Reviews and Comments


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