IndividualActive
Mark Greene, M.D.
NPI 1508824616 · Hospice and Palliative Medicine (Family Medicine) Physician · La Pine, OR
Provider details
- NPI number
- 1508824616
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- J2037 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
51681 Huntington Rd
La Pine, OR 97739-9626
Phone: (541) 536-7399
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Nw 12th St
Fruitland, ID 83619-5040
Registry dates
- Enumerated
- 2006-05-01
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.