OrganizationActive
Metamorphosis Center for Holistic Medicine, LLC
NPI 1386785772 · Medical Specialty Clinic/Center · Portland, OR
Provider details
- NPI number
- 1386785772
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Debra Green, Owner Physician
- License
- MD12762 (OR)
Practice location
5909 Se Division St
Portland, OR 97206-1470
Phone: (503) 234-1531
Fax: (503) 234-2367
Mailing address
5909 Se Division St
Portland, OR 97206-1470
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.