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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sally Green DC Lac PC

  • Chiropractor
  • Portland, OR
  • NPI 1437323185
  Authorized official Same address or phone

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

{
    "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

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• 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.