Green, Jacob Irving

Green, Jacob Irving is an individual health care provider with primary practice located at 1680 Chambers St Ste 201 , Eugene OR 97402-3655. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Green, Jacob Irving can be contacted via phone (541) 683-3351.

Contact Information

Primary practice address
1680 Chambers St Ste 201 Eugene OR 97402-3655
Phone: (541) 683-3351
Fax: (541) 683-6440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP219527 Oregon
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5897 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X EL6961 California

Profile Details

NPI number 1578188256
LBN Legal business name Green, Jacob Irving
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2020
Last updated May 8th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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