Greene, Deidre I

Greene, Deidre I is an individual health care provider with primary practice located at 3521 Nw Samaritan Dr Suite 201, Corvallis OR 97330-4744. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Greene, Deidre I can be contacted via phone (541) 768-5140.

Contact Information

Primary practice address
3521 Nw Samaritan Dr Suite 201 Corvallis OR 97330-4744
Phone: (541) 768-5140
Fax: (541) 768-5391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 094006506RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200050064NP Oregon

Profile Details

NPI number 1114963568
LBN Legal business name Greene, Deidre I
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 17th, 2023 - about 3 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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