NPI 1053059352

Jeff C Green

Practitioner Community Health Worker Siletz, OR

Practice location

Address: 200 Gwee Shut Rd, Siletz, OR 97380-2036
Phone: (541) 444-9613

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 8371309 (OR)

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1053059352
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2022
Record last updated: 25 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.