NPI 1508824616 · live from the CMS NPI Registry
Mark W Greene, M.D.
Family Medicine, Hospice and Palliative Medicine in La Pine, OR. National Provider Identifier 1508824616, active.
NPI record
| NPI | 1508824616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 51681 Huntington Rd, La Pine, OR 97739 |
| Practice phone | 541-536-7399 |
| Mailing address | 1100 Nw 12th St, Fruitland, ID 83619 |
| Enumerated | May 1, 2006 |
| Last updated | February 25, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery | 208200000X | J2037 (TX) |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | MD156287 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.