MR. EDWARD CARL GREEN (NPI# 1407082480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407082480 |
| Entity Type | Individual |
| Full Name | MR. EDWARD CARL GREEN |
| Credential | CWOCN |
| Practice Address |
5004 Foothills Rd Apt E Lake Oswego OR 97034-3156 |
| Practice Telephone | 5037209891 |
| Mailing Telephone | 5037209891 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN 60087413 | WA | Nursing Service Providers |
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
200542242RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801062492 | Edward Green | Hearing Instrument Specialist | 3201 Bee Cave Rd Ste 146, Austin, TX 78746-6764 | 2008-05-02 |
| 1417179359 | Edward Michael Green | Social Worker | 1733 Vine St., Denver, CO 80206 | 2007-05-02 |
| 1578514469 | Edward Rodman Green | Psychiatry & Neurology | 106 Central Avenue, Huntsville, AL 35801-3814 | 2006-05-15 |
| 1639171515 | Edward A Green | Social Worker | 507 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4021 | 2005-08-11 |
| 1477559102 | Edward F Green | Psychiatry & Neurology | 4037 Ne Tillamook St, Portland, OR 97212-5341 | 2005-06-27 |
| 1770015638 | Edward Green | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-03-30 |
| 1962776146 | Edward Green | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2012-03-06 |
| 1508196056 | Edward B Green | Chiropractor | 301 Science Dr, #100, Moorpark, CA 93021-2094 | 2010-01-06 |
| 1902050412 | Edward J Green | Dentist | 1505 W 3rd Ave, Suite B, Albany, GA 31707-3647 | 2008-11-11 |
| 1235308511 | Edward Dwight Green | Social Worker | 462 1st Ave, Room A414, Virology Clinic, Administration Building, New York, NY 10016-9196 | 2008-02-21 |
| Street Address |
5004 FOOTHILLS RD APT E |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845915 | Brittaini Lanika Goettl | Registered Nurse | 840 Broadway St Sw, Albany, OR 97321-2077 | 2019-01-18 |
| 1477663649 | Royce William Embanks Jr. | Registered Nurse | 733 Se Turner St, Madras, OR 97741-1562 | 2006-08-30 |
| 1538622105 | Cassie Ruth Cooper | Registered Nurse | 890 Oak St Se Bldg B, Salem, OR 97301-3905 | 2019-04-10 |
| 1114495017 | Ryan Leroy Cummings | Registered Nurse | 9135 Sw Barnes Rd Ste 861, Portland, OR 97225-6777 | 2018-11-08 |
| 1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1598144263 | Debbie L Christensen | Registered Nurse | 55 Coburg Rd, Eugene, OR 97401-2433 | 2015-05-27 |
| 1548505464 | Sally Beavers | Registered Nurse | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2012-12-04 |
| 1659616571 | Sara Dickerson | Registered Nurse | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2012-12-04 |
| 1669717583 | Duane Connor | Registered Nurse | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2012-12-04 |
| 1265590509 | Suzanne Ruth Hurford | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Uhs 8z, Portland, OR 97239-3011 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
Please comment or provide details below to improve the information on MR. EDWARD CARL GREEN.
| 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.