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

Jeff C Green

Individual provider Community Health Worker · NPI 1053059352

Jeff C Green is a Community Health Worker in Siletz, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone: (541) 444-9613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 8371309 (OR)

Record details

NPI number1053059352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address200 Gwee Shut Rd, Siletz, OR 97380-2036

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