Individual
SHANNA D GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
3530 N VANCOUVER AVE STE 400, PORTLAND, OR 97227-1798
(503) 249-8855
Mailing address
PO BOX 11594, PORTLAND, OR 97211-0594
(503) 249-8855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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