Individual
LISA CATHALENE GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 SE 122ND AVE, PORTLAND, OR 97233-1303
(503) 253-5954
Mailing address
232 NW 6TH AVENUE, ATTN: CREDENTIALING, PORTLAND, OR 97209
(503) 501-5641
(503) 294-4321
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
18-CRM-330
OR
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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