Edward Carl Green, CWOCN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

200542242RN Issued in OR

Practice address

5004 Foothills Rd
Apt E
Lake Oswego, OR 97034-3156

Phone

(503) 720-9891

NPI assigned

Jun 4, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1407082480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 FOOTHILLS RD",
            "address_2": "APT E",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343156",
            "telephone_number": "503-720-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 FOOTHILLS RD",
            "address_2": "APT E",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343156",
            "telephone_number": "503-720-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EDWARD",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "CWOCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OR",
            "license": "200542242RN",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WA",
            "license": "RN 60087413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunya Grantham, LFMT-INTERN
• Stephanie Graupmann
• Bethany Graves
• James Christian Gray, DNP, PMHNP
• Heather Green-Bostwick, L.M.T.
• Michael Sean Green, M.D.
• Meaghan Greene
• Greenridge Estates Operating LLC
• Nancy Marie Gregory, RN
• Gretchen Gulotta, LLC

• Wound Care Registered Nurse in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Wound Care Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.