Individual
MATILDA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 NE 41ST ST STE 200, VANCOUVER, WA 98662-6772
(360) 720-3230
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(360) 720-3230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.70006336
WA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
05/05/2026
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