DR. PHILIP P GREEN (NPI# 1518007582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518007582 |
| Entity Type | Individual |
| Full Name | DR. PHILIP P GREEN |
| Credential | D.M.D. |
| Practice Address |
3925 Sw 153rd Dr Suite #100 Beaverton OR 97006-4166 |
| Practice Telephone | 5036467101 |
| Practice Fax Number | 5036467105 |
| Mailing Telephone | 5036467101 |
| Mailing Fax Number | 5036467105 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D5048 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275675027 | Philip Green | Internal Medicine | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2007-02-12 |
| 1104867373 | Philip A Green | Emergency Medicine | 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 | 2006-06-09 |
| 1003800335 | Philip David Green | Emergency Medicine | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2005-09-01 |
| Street Address |
3925 SW 153RD DR SUITE #100 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643963 | Anthony B. Bouneff | Dentist | 3925 Sw 153rd Dr, Suite #100, Beaverton, OR 97006-4166 | 2007-02-07 |
| 1811121932 | Beaverton Oral Surgeons | Clinic/Center | 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97006-4166 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643963 | Anthony B. Bouneff | Dentist | 3925 Sw 153rd Dr, Suite #100, Beaverton, OR 97006-4166 | 2007-02-07 |
| 1730229774 | Beaverton Oral Surgeons Equipment LLC | Dentist | 3925 Sw 153rd Drive, Suite #100, Beaverton, OR 97006 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
| 1417385857 | Northwest Oral and Maxillofacial Surgeons | Dentist | 24850 Se Stark St Ste 100, Gresham, OR 97030-8317 | 2013-10-22 |
| 1457699142 | Bryan Christopher Williams | Dentist | 330 S Garden Way Ste 140, Eugene, OR 97401 | 2013-01-30 |
| 1689932063 | Garrett Welch | Dentist | 1475 Sw Chandler Ave Ste 101, Bend, OR 97702 | 2012-04-24 |
| 1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
| 1770887648 | Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC | Dentist | 911 Main St Ste 180, Oregon City, OR 97045-1870 | 2011-01-06 |
| 1710291265 | Auzins Warrenton LLC | Dentist | 65 N Highway 101 Ste C, Warrenton, OR 97146-9313 | 2010-07-27 |
| 1932411303 | Normund Karl Auzins Dds | Dentist | 1725 Saint Helens St, Saint Helens, OR 97051-1744 | 2010-07-13 |
| 1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
| 1700012010 | Dylan S Spendal | Dentist | 5025 Ne Elam Young Pkwy, Suite 100, Hillsboro, OR 97124-6403 | 2009-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.