MR. EDWARD CARL GREEN CWOCN
NPI 1407082480
Registered Nurse - Wound Care in Lake Oswego, OR
Active since June 04, 2009
About Mr. Edward Carl Green Cwocn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD CARL GREEN CWOCN (NPI 1407082480) is an individual wound care provider in Lake Oswego, Oregon, licensed in Oregon (200542242RN) and active in the NPI registry since June 2009.
NPPES Registry Identity
NPI1407082480
Entity TypeIndividualMale
Primary Taxonomy163WW0000X
Provider Legal NameMR. EDWARD CARL GREENCredential: CWOCN
Location Address5004 FOOTHILLS RD, APT ELake Oswego, OR 97034-3156
Mailing Address5004 Foothills Rd, Apt ELake Oswego, OR 97034-3156 · (503) 720-9891
Phone(503) 720-9891
Sole ProprietorYes
Enumeration DateJune 4, 2009
✔ NPI 1407082480 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Licenses✔ Licensed in OR · 200542242RN✔ Licensed in WA · RN 60087413
5004 FOOTHILLS RD, Lake Oswego, OR 97034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407082480, enumerated as an "individual" on June 04, 2009.
The provider is located at 5004 FOOTHILLS RD APT E LAKE OSWEGO, OR 97034 and the phone number is (503) 720-9891.
Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.
