Green, Michael Sean

Green, Michael Sean is an sole proprietor health care provider with primary practice located at 16001 Quarry Rd , Lake Oswego OR 97035-3359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Green, Michael Sean can be contacted via phone (503) 635-1604.

Contact Information

Primary practice address
16001 Quarry Rd Lake Oswego OR 97035-3359
Fax: (503) 635-6659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD18372 Oregon

Profile Details

NPI number 1265537187
LBN Legal business name Green, Michael Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Apr 6th, 2010 - about 15 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265537187 NPPES
Oregon MEDICAID 081799

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