RANDY H GREENE


Address: 2801 N Gantenbein Ave, Portland, OR 97227-1623
Phone: 5034134032

RANDY H GREENE (NPI# 1205870466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205870466
Entity Type Individual
Full Name RANDY H GREENE
Credential MD
Practice Address 2801 N Gantenbein Ave
Portland
OR 97227-1623
Mailing Address 2701 Nw Vaughn St
Ste 425
Portland
OR 97210-5311
Practice Telephone 5034134032
Practice Fax Number 5032270218
Mailing Telephone 5032272400
Mailing Fax Number 5032270218
Enumeration Date 2006-06-16
Last Update Date 2010-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD10616 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 263285 05

Office Location

Street Address 2801 N GANTENBEIN AVE
City PORTLAND
State OR
Zip Code 97227-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027198 James P Mccord Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2005-07-20
1225639040 Lina Rossetti-grulich Nurse Practitioner 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-11-06
1033722673 Karen Bronson Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-08-24
1356969331 Sandy Hammer Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-07-07
1225673999 Odaisa Igwe Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-16
1952945578 Julie Lorine Hoover Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-06
1285278648 Kate Harrell Unterberger Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-29
1780227082 Keegan Carly Fritzke Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-21
1578106860 Corinne Frohlick Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-20
1386287662 Aimee Breitfelder Reddy Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528413754 Bay Area Radiology, PC Radiology 2823 Ne 55th Ave, Portland, OR 97213-3439 2016-04-25
1790171585 Dianna Howard Radiology 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 2015-04-08
1245674506 Jaryd Yee Radiology Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 2013-04-17
1700175874 Ramsey Al-hakim Radiology 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 2011-03-29
1386961712 Yama Kharoti Radiology 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 2010-04-25
1639313273 David Pettersson Radiology Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-04-27
1629276191 Joe Mun-jung Chan Radiology 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 2007-07-06
1194846345 Jay H Donohoo Radiology 01641 Sw Comus St, Portland, OR 97219-7858 2007-04-03
1851458046 Summit Radiology Inc Radiology 1243 Sw Texas St, Portland, OR 97219-2046 2007-01-03
1376600064 Jeffrey Terrance Hal Radiology 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 2007-01-02
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Competitor

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City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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