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Contact Information

JACOB I GREEN, DPM
1680 CHAMBERS ST
SUITE 201
EUGENE, OR97402
 Phone: 541-683-3351
 Fax: 541-683-6440
 Website: https://eugenefootandankle.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACOB I GREEN · (Male)

NPI Number 1578188256
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2020
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E5897
  • CA License # EL6961
  • OR License # DP219527
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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