Organization Name: | GREENFIELD HEALTH SYSTEM LLC |
NPI Number: | 1710003140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE RALLISON (ADMINISTRATOR) |
Mailing Address: | 9427 Sw Barnes Rd Suite 590 Portland |
State: | OR US |
Postal Code: | 972256652 |
Phone Number: | 5032929560 |
Fax Number: | 5032929510 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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