TERRY MAC GREEN


Address: 16100 Sw 72nd Ave, Portland, OR 97224-7745
Phone: 5033721700

TERRY MAC GREEN (NPI# 1538499900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538499900
Entity Type Individual
Full Name TERRY MAC GREEN
Credential RPH
Practice Address 16100 Sw 72nd Ave
Portland
OR 97224-7745
Mailing Address 16100 Sw 72nd
Portland
OR 97224
Practice Telephone 5033721700
Mailing Telephone 5033721700
Enumeration Date 2010-01-07
Last Update Date 2010-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835G0303X Pharmacist
Specialization: Geriatric
14617 WA Pharmacy Service Providers
Y 1835G0303X Pharmacist
Specialization: Geriatric
5396 OR Pharmacy Service Providers

Other Providers TERRY GREEN

NPI Name Taxonomy Address Enumeration
1154604791 Terry A Green Marriage & Family Therapist 611 Main St Ste E, Edmonds, WA 98020-3096 2011-09-20
1083630115 Terry L Green Nurse Practitioner 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 2006-07-14
1780117648 Terry Green Case Manager/Care Coordinator 9970 Lake Forest Blvd, New Orleans, LA 70127-2609 2017-04-07
1801054465 Terry D Green Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2008-05-29
1518080159 Terry Leroy Green Dentist 4570 N Oracle Rd, Tucson, AZ 85705-1638 2007-04-09
1639107535 Terry L. Green Counselor 2210 Jackson St, Anderson, IN 46016-4363 2006-06-29

Office Location

Street Address 16100 SW 72ND AVE
City PORTLAND
State OR
Zip Code 97224-7745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184621591 Reginald Allan Carey Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2005-06-30
1235588252 Amy Moore Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2016-06-09
1851747877 Katherine Glyn Marsh Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2016-05-09
1487008132 Christopher Lloyd Student in an Organized Health Care Education/Training Program 16100 Sw 72nd Ave, Portland, OR 97224-7745 2016-04-19
1417317322 Derek Hendry Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2016-03-04
1710350319 Michael An Loc Vu Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2015-11-04
1164890927 Phuong Nguyen Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2015-09-10
1659749430 Mary Rachel Martinez-smith Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2015-09-09
1053796532 Kathy Le Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2015-07-24
1801278536 Sophia Hyun Kwon Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2015-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973139 Katherine Raineri Psychologist 7213 Sw Hazel Fern Rd, Tigard, OR 97224 2019-07-10
1871064618 Stacey A Wenzel Speech-Language Pathologist 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 2018-12-05
1376010090 Meredith Rae Brezinski Physical Therapist 18019 Sw Boones Ferry Road, Tigard, OR 97224 2018-10-31
1649759358 Viktoriya A Chiliy Behavior Technician 15290 Sw Royalty Parkway, Tigard, OR 97224 2018-08-13
1609384866 Rachel E King Physical Therapist 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 2018-01-22
1689190134 Isabelle Cooper Klee Caballero Speech-Language Pathologist 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 2017-08-16
1427573146 Breanna M Sandefur Behavior Technician 15290 Sw Royalty Pkwy, Tigard, OR 97224 2017-08-03
1083141196 Krista Espenship Registered Nurse 8032 Sw Ashford St, Tigard, OR 97224 2017-05-19
1275067928 Emily Elizabeth Myers Behavioral Analyst 15290 Royalty Parkway, Tigard, OR 97224 2017-04-19
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811344500 Karen Pickel Pharmacist 35 Wilcox Ln, Portland, CT 06480-1002 2016-05-23
1902964810 George R Gerding Pharmacist 1429 Se 55th Ave, Portland, OR 97215-2665 2006-12-04
1992218838 Kristen Massing Wilson Pharmacist 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 2017-11-14
1730423195 Roger Goodwin Wilmot Jr. Pharmacist 97 Mcalister Farm Rd, Portland, ME 04103-5946 2012-11-23
1508110453 Ginnie Lee Johnson Pharmacist 16100 Sw 72nd Ave, Portland, OR 97224-7745 2012-10-30
1720220684 Mary F. Folan Laucka Pharmacist 4560 Se International Way, Suite 101, Portland, OR 97222-4628 2009-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346681210 Jason Scott Renoud Pharmacist 550 1st St, Scotts Mills, OR 97375-7002 2013-07-08
1124359427 Parisa N. Parvini Pharmacist Payless Longterm Care Pharmacy, 16100 Sw 72nd Ave, Tigard, OR 97224 2010-01-26
1912109943 Nicolle King Deering Pharmacist 20605 Sw Prindle Rd, Tualatin, OR 97062-9701 2007-06-01
1467862110 Katherine Fortner Pharmacist 28717 Grumman Dr, Eugene, OR 97402-9542 2014-05-04
1992006068 Everett Anthony Keeler Pharmacist 1983 S Main St, Lebanon, OR 97355-3142 2010-11-05
1215247200 Annie Ratliff Capelle Pharmacist 16100 Sw 72nd Ave, Tigard, OR 97224-7745 2010-10-08
1124353321 Brian Snyder Pharmacist 16100 Sw 72nd Ave, Tigard, OR 97224-7745 2009-10-06
1073745402 Jennifer Ng-look Pharmacist 16100 Sw 72nd Ave, Tigard, OR 97224-7745 2009-08-18
1538234844 Scott A Mitchell Pharmacist 4560 Se International Way, Consonus Pharmacy Services, Milwaukie, OR 97222 2006-11-21
1649377235 Karen Marie Neal Pharmacist 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 2006-09-17
Find all providers with the same taxonomy

Competitor

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City PORTLAND
Zip Code 97224

Improve Information

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Dataset Information

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.

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