NPI: 1386785772
Provider Name: METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
Former Legal Business Name: DEBRA GLASSER GREEN, M.D.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
5909 SE DIVISION ST
PORTLAND, OR
ZIP 97206
Phone: (503) 234-1531
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METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC is a medical specialty clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC NPI is 1386785772. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Debra Glasser Green, M.d..
The provider's business location address is:
5909 SE DIVISION ST
PORTLAND, OR
ZIP 97206-470
Phone: (503) 234-1531
Fax: (503) 234-2367
The provider's authorized official is Debra Glasser Green .
The authorized official title is Owner Physician and has the following contact phone number (503) 234-1531.
The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.