Individual
DAVID GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
2021 SW CUSTER ST, PORTLAND, OR 97219-2645
(856) 430-5041
Mailing address
2021 SW CUSTER ST, PORTLAND, OR 97219-2645
(856) 430-5041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/15/2012
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