IndividualActive
Kaitlin Greene
NPI 1861735763 · Pediatric Neurodevelopmental Disabilities Physician · Portland, OR
Provider details
- NPI number
- 1861735763
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD194559 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-5856
Fax: (503) 494-4953
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2019-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.