Individual
MRS. CHRISTA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 SE SUNNYSIDE RD STE 122S, CLACKAMAS, OR 97015-5702
(509) 999-2952
Mailing address
8800 SE SUNNYSIDE RD STE 122S, CLACKAMAS, OR 97015-5702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
03/28/2024
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