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Individual

MRS. ASTRID H GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, CSAT

Contact information

Practice address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 329-1188
(503) 452-0729
Mailing address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 329-1188
(503) 452-0729

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1802
OR

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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