MEDICARE: DR. EDWARD F GREEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD13381	OR

General Provider Information

NPI Number	:	1477559102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD F GREEN M.D.

Provider Business Mailing Address
First Line	:	4037 NE TILLAMOOK ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-5341
Country	:	US
Telephone Number	:	503-736-3292
Fax Number	:	503-736-3307

Provider Business Practice Location Address
First Line	:	4037 NE TILLAMOOK ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-5341
Country	:	US
Telephone Number	:	503-736-3292
Fax Number	:	503-736-3307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/06/2007

Similar Medicare Providers

1548280498 — ANNE KC WEAVER MS, CCC
Practice Location Address:

4029 NE TILLAMOOK ST
PORTLAND, OR
97212-5341

Practice Phone: 503-249-0455
Practice Fax:

1538189485 — PATRICIA H HALL MA, CCC
Practice Location Address:

4029 NE TILLAMOOK ST
PORTLAND, OR
97212-5341

Practice Phone: 503-249-0455
Practice Fax:

1528192580 — MRS. ELIZABETH MARIE PANCOAST MS
Practice Location Address:

4029 NE TILLAMOOK ST
PORTLAND, OR
97212-5341

Practice Phone: 415-583-3185
Practice Fax:

1669845897 — ROSE MARY COLORAFI LPC, LMHC, NCC
Practice Location Address:

4023 NE TILLAMOOK ST # 2
PORTLAND, OR
97212-5341

Practice Phone: 503-427-9543
Practice Fax:

1740914431 — SPEECH 4 KIDDOS LLC
Practice Location Address:

4029 NE TILLAMOOK ST
PORTLAND, OR
97212-5341

Practice Phone: 503-272-1867
Practice Fax:

1861198517 — ALISON LEE DANIELS LCSW
Practice Location Address:

4037 NE TILLAMOOK ST
PORTLAND, OR
97212-5341

Practice Phone: 503-310-9456
Practice Fax:

Directions to “ DR. EDWARD F GREEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.