Individual
DR. CAROL GREENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
9965 SW JURGENS LN, TUALATIN, OR 97062-6903
(503) 975-7808
Mailing address
9965 SW JURGENS LN, TUALATIN, OR 97062-6903
(503) 975-7808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
728
OR
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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