| Dr Jennifer Nicole Green, DO | |
|
2435 Ne Cumulus Ave., Ste A, Mcminnville, OR 97128-8862 | |
| (503) 434-8286 | |
| Not Available |
| Full Name | Dr Jennifer Nicole Green |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2435 Ne Cumulus Ave., Ste A, Mcminnville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043519895 | NPI | - | NPPES |
| DO167350 | Other | OR | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | DO 167350 (Oregon) | Primary |
| Entity Name | Physicians Medical Center P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097122 PECOS PAC ID: 6305832890 Enrollment ID: O20040421000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Nicole Green, DO 2435 Ne Cumulus Ave., Ste A, Mcminnville, OR 97128-8862 Ph: (503) 434-8286 | Dr Jennifer Nicole Green, DO 2435 Ne Cumulus Ave., Ste A, Mcminnville, OR 97128-8862 Ph: (503) 434-8286 |
Brent Heimuller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
Dr. Mary C Harbor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-8486 | |
Caleb Benjamin Hentges, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-726-1614 Fax: 503-434-6290 | |
Alan Paul Lucas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-6441 Fax: 503-435-6445 | |
Mr. Kevin Glen Wherry, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
Dr. Maryalice Mcnamara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 |