Christopher Edward Green, FNP | |
16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679 | |
(503) 216-9600 | |
Not Available |
Full Name | Christopher Edward Green |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 16770 Sw Edy Rd Ste 102, Sherwood, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215665229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10018124 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Clinicops Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275821266 PECOS PAC ID: 9739343245 Enrollment ID: O20120613000647 |
Mailing Address | Practice Location Address |
---|---|
Christopher Edward Green, FNP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Christopher Edward Green, FNP 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679 Ph: (503) 216-9600 |
Melissa M Sanchez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Richard Jordan Delavan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102a, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Patricia K Truhn, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Alma Sophia Draper, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 | |
Rose Waggoner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Julianne Florence Brock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 |