CHRISTOPHER EDWARD GREEN FNP NPI 1215665229

NPI Information

  • NPI: 1215665229
  • Provider Name: CHRISTOPHER EDWARD GREEN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16770 SW EDY RD STE 102
    SHERWOOD, OR
    ZIP 97140
  • Phone: (503) 216-9600

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NPI Details

Christopher Edward Green, FNP is a family nurse practitioner in Sherwood, OR with 2 years of experience. Christopher Edward Green, FNP NPI is 1215665229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16770 SW EDY RD STE 102
SHERWOOD, OR
ZIP 97140-679
Phone: (503) 216-9600

The NPI 1215665229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 9/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily10018124OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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