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METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
NPI 1386785772
Clinic/Center - Medical Specialty in Portland, OR

Active since February 09, 2007
5909 SE DIVISION ST, PORTLAND, OR 97206(503) 234-1531(503) 234-2367 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Metamorphosis Center For Holistic Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC (NPI 1386785772), doing business as Debra Glasser Green, M.d., is a healthcare organization registered as a medical specialty in Portland, Oregon and active in the NPI registry since February 2007. The organization lists Debra Glasser Green, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1386785772
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMETAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
Location Address5909 SE DIVISION STPortland, OR 97206-1470
Mailing Address5909 Se Division StPortland, OR 97206-1470 · (503) 234-1531 · Fax (503) 234-2367
Phone(503) 234-1531
Fax(503) 234-2367
Organization SubpartNo
Authorized OfficialDebra Glasser GreenOwner Physician · (503) 234-1531
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386785772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OR · MD12762
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5909 SE DIVISION ST, Portland, OR 97206
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Other Names 1

Former Legal Business NameDebra Glasser Green, M.d.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN TAKACS DO
Family Medicine
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 234-1531
JULIANA FRIEDMAN, BC-DMT, LPC
Counselor (Professional)
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 250-4373
INTEGRATIVE SPINE & BODY MEDICINE
Physical Medicine & Rehabilitation
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 231-3633
JOAN MARIE TAKACS D.O.
Neuromusculoskeletal Medicine & OMM
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 234-1531
MS. DEBRA L GLASSER M.D.
Internal Medicine
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 234-1531
MRS. JULIANA FRIEDMAN LPC, BC-DMT
Counselor (Professional)
5909 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 250-4373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metamorphosis Center For Holistic Medicine, LLC's NPI number?

The NPI number for Metamorphosis Center For Holistic Medicine, LLC is 1386785772. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider was formerly known as Debra Glasser Green, M.D..

Where is Metamorphosis Center For Holistic Medicine, LLC located?

Metamorphosis Center For Holistic Medicine, LLC is located at 5909 SE Division St, Portland, OR 97206. The listed phone number is (503) 234-1531.

What is Metamorphosis Center For Holistic Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Metamorphosis Center For Holistic Medicine, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.