NPI 1962657148 · live from the CMS NPI Registry
Rikki P Green, Au.D.
Audiologist in Portland, OR. National Provider Identifier 1962657148, active.
NPI record
| NPI | 1962657148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 10101 Se Main St, #2004, Portland, OR 97216 |
| Practice phone | 503-257-3204 |
| Enumerated | December 1, 2008 |
| Last updated | January 14, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 21764 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.