Individual
CAROLYN GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(503) 702-0737
Mailing address
42130 ANDERSON RD, NEHALEM, OR 97131-9556
(503) 702-0737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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