Sally Green, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-1666 Issued in OR

Practice address

923 NE Couch St
Portland, OR 97232-2926

Phone

(503) 236-9609

Fax

(503) 236-9609

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407914740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322926",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322926",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-1666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Anne Green, LCSW
• Nicole Cara Green, LPC
• Patricia G Green, N.P.
• Rikki P Green, AU.D.
• Roberta Jeanne Green, QMHA
• Shana R Green, PMHNP-BC/ ANP-BC
• Siew P Green, INTERPRETER
• Terry Mac Green, RPH
• Thomas Green
• Tonja E Green

• All providers in Portland, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.