Individual provider · Type 1 NPI

Gerald S. Green, MD

Diagnostic Radiology Physician · Portland, OR

NPI number 1922044163 Active

Practice location

1015 NW 22nd Ave
Portland, OR 97210-3025

Call (503) 413-7711 Map

Fax (503) 227-0218

Mailing address

PO Box 10768
Portland, OR 97296-0768

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD7312 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1922044163

Gerald S. Green, MD's National Provider Identifier is 1922044163, issued on Jun 22, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.