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Individual

JOSEPH GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC I

Contact information

Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 228-9229
(503) 228-9558
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-06-15
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
09-09-15
OR

Other

Enumeration date
12/01/2010
Last updated
07/19/2019
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