Green, Terry Mac

Green, Terry Mac is an individual health care provider with primary practice located at 16100 Sw 72Nd Ave , Portland OR 97224-7745. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Green, Terry Mac can be contacted via phone (503) 372-1700.

Contact Information

Primary practice address
16100 Sw 72Nd Ave Portland OR 97224-7745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 5396 Oregon
Pharmacy Service Providers / Geriatric 1835G0303X 14617 Washington

Profile Details

NPI number 1538499900
LBN Legal business name Green, Terry Mac
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2010
Last updated Jan 7th, 2010 - about 14 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.

Request for update

Popular Providers