Individual
DELANEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6400 SE LAKE RD STE 250, PORTLAND, OR 97222-2129
(541) 900-4285
Mailing address
7830 SE MILWAUKIE AVE, PORTLAND, OR 97202-6119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R12350
OR
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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