| Greene & Westermeyer PC | |
|
4255 Se 182nd Ave Gresham OR 97030 | |
| (503) 666-2515 | |
| (503) 618-9254 |
| Full Name | Greene & Westermeyer PC |
|---|---|
| Speciality | Dentist |
| Location | 4255 Se 182nd Ave, Gresham, Oregon |
| Authorized Official Name and Position | Lisa Marguerite Greene (DENTIST) |
| Authorized Official Contact | 5036662515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene & Westermeyer PC 4255 Se 182nd Ave Gresham OR 97030 Ph: (503) 666-2515 | Greene & Westermeyer PC 4255 Se 182nd Ave Gresham OR 97030 Ph: (503) 666-2515 |
| NPI Number | 1821256827 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821256827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8789 (Oregon) | Primary |
| 122300000X | Dentist | D8881 (Oregon) | Secondary |
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