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: July 26, 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
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

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.

Radiology (Radiation Oncology)
1015 NW 22ND AVE, LL50
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
1015 NW 22ND AVE, NORTHRUP #33
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Hospitalist
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210

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 with the weekly NPPES data releases published by CMS.