| Connor Green, DC | |
|
202 Lister St, Cave Junction, OR 97523-9047 | |
| (541) 592-6220 | |
| Not Available |
| Full Name | Connor Green |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 202 Lister St, Cave Junction, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558088450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6253 (Oregon) | Primary |
| Provider Name | Total Performance Sports Medicine Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750614749 PECOS PAC ID: 4789730730 Enrollment ID: O20090916000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Green, DC Po Box 774, Grants Pass, OR 97528-0066 Ph: (541) 476-4010 | Connor Green, DC 202 Lister St, Cave Junction, OR 97523-9047 Ph: (541) 592-6220 |
Dr. James A Minervini, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 202 W. Lister St, Cave Junction, OR 97523 Phone: 541-592-6220 | |
Elements Of Health & Wellness, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 202 W. Lister St, Cave Junction, OR 97523 Phone: 541-592-6220 Fax: 541-592-6375 | |
Chiropractic Wellness Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 202 W. Lister St, Cave Junction, OR 97523 Phone: 541-592-6220 |