Dr. Mark W Greene
Surgeon Family Doctor - Hospice and Palliative Medicine
51681 Huntington Rd
La Pine
, Oregon 97739-9626
Dr. Mark W Greene
Surgeon Family Doctor - Hospice and Palliative Medicine
51681 Huntington Rd
La Pine
, Oregon 97739-9626
(208) 452-2662
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark W Greene
- 1100 Nw 12th St
- Fruitland, ID
- Zip : 83619-5040
- Phone : (208) 452-2662
Second Address
- Dr. Mark W Greene
- 51681 Huntington Rd
- La Pine, OR
- Zip : 97739-9626
- Phone : (541) 536-7399
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD156287 | OR |
| N | 208200000X | Surgeon | J2037 | TX |
| N | 208600000X | Surgeon | J2037 | TX |
National Provider Identifier
| NPI | 1508824616 |
|---|---|
| Provider Name | Dr. Mark W Greene |
| First Address | Fruitland, ID 83619-5040 |
| Second Address | La Pine, OR 97739-9626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 25/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F58495 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.