Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER RUTH GREEN
Active Sole ProprietorJENNIFER RUTH GREEN is a Community/Behavioral Health healthcare provider located in MEDFORD, Oregon. NPI 1679987507 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · MEDFORD, OR
Registration Details
- NPI Number
- 1679987507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2014 (12.18156272898 yrs)
- Last Updated
- Dec 29, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 SOUTH HOLLY STREETMEDFORD, OR, 97501Browse OR providers · Browse ZIP 97501
- Phone
- 5417748200
- Fax
- 5417747964
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MINDIE A MEDINA | BA | 1609292069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.