Greenberg, David C

Greenberg, David C is an sole proprietor health care provider with primary practice located at 948 Ne 102Nd Ave Suite 103, Portland OR 97220-4064. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Greenberg, David C can be contacted via phone (503) 257-8886.

Contact Information

Primary practice address
948 Ne 102Nd Ave Suite 103 Portland OR 97220-4064
Phone: (503) 257-8886
Fax: (503) 251-1892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00129 Oregon

Profile Details

NPI number 1760434674
LBN Legal business name Greenberg, David C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Oct 15th, 2014 - about 12 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 1760434674 NPPES
Oregon Other 001487000 REGENCE BLUE CROSS
Oregon MEDICAID 1006360 REGENCE BLUE CROSS
Oregon Other 756480632 REGENCE BLUE CROSS
Oregon MEDICAID 16851-8 REGENCE BLUE CROSS
Oregon Other 93075402-9722-A002 REGENCE BLUE CROSS

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