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GERALD S GREEN MD
NPI 1922044163
Radiology - Diagnostic Radiology in Portland, OR

Active since June 22, 2006
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711(503) 227-0218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald S Green Md NPPES

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

GERALD S GREEN MD (NPI 1922044163) is an individual diagnostic radiology provider in Portland, Oregon, licensed in Oregon (MD7312) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1922044163
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGERALD S GREENCredential: MD
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing AddressPo Box 10768Portland, OR 97296-0768 · (503) 227-2400 · Fax (503) 227-0218
Phone(503) 413-7711
Fax(503) 227-0218
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922044163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OR · MD7312
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1015 NW 22ND AVE, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified104211
Medicaid263798OR
Medicare UPINE36777

Other Providers at the Same Location NPPES 20

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

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

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 Gerald Green's NPI number?

The NPI number for Gerald Green is 1922044163. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Gerald Green located?

Gerald Green practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Gerald Green's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Gerald Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.