NPI 1679987507
Jennifer Ruth Green
Community/Behavioral Health · Medford, OR
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 3:23 pm EDT
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Jennifer Ruth Green is a health care provider (Community/Behavioral Health) in Medford, Oregon with National Provider Identifier (NPI) 1679987507. The NPI was issued on Jun 18, 2014 and the registry record was last updated on Dec 29, 2014.
Registry record
- NPI
- 1679987507
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Community/Behavioral Health 251S00000X
- Practice location
- 140 South Holly Street
Medford, OR 97501 - Phone
- (541) 774-8200
- NPI issued
- Jun 18, 2014
- Registry record updated
- Dec 29, 2014
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | ||
| Counselor, Mental Health | 101YM0800X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.