person
Gerald S Green, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1922044163

Gerald S Green is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. Gerald S Green practices in Portland, OR and has the professional credentials of MD. The NPI Number for Gerald S Green is 1922044163 and holds a License No. MD7312 (Oregon).

The current practice location address for Gerald S Green is 1015 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-7711 and via fax at 503-227-0218.

Location: 1015 Nw 22Nd Ave, Portland, OR, 97296-0768
person
Provider Profile Details
NPI Number
1922044163
Provider Name
Gerald S Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1015 Nw 22Nd Ave, Portland, OR, 97296-0768
Phone Number
503-413-7711
Fax Number
503-227-0218
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263798 05 OR
institution
Provider Business Practice Location Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-7711
Fax Number
503-227-0218
person
Provider Business Mailing Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-7711
Fax Number
503-227-0218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD7312 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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