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Individual

SAMUEL GREENWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRM

Contact information

Practice address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(503) 660-6819
Mailing address
7802 SW 45TH AVE APT 44, PORTLAND, OR 97219-1568
(503) 747-9668

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
OR

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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