Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark W Greene, MD

Individual provider Plastic Surgery Physician · NPI 1508824616

Dr. Mark W Greene, MD is a Plastic Surgery Physician in LA Pine, Oregon. Practices as a sole proprietor. Licensed in Oregon and Texas.

Licensed in
OR, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

51681 Huntington Rd
LA Pine, OR 97739-9626
Phone: (541) 536-7399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence MD156287 (OR)
Plastic Surgery Physician Taxonomy 208200000X · Licence J2037 (TX)

Record details

NPI number1508824616
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2006
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing address1100 Nw 12th St, Fruitland, ID 83619-5040