Individual
JANET L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1590 HIGH ST STE B, EUGENE, OR 97401-4152
(541) 334-6626
Mailing address
1590 HIGH ST, STE B, EUGENE, OR 97401-4152
(541) 343-4975
(541) 431-7055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
983
LICENSED CLINICAL SOCIAL
OR
Enumeration date
01/19/2007
Last updated
11/30/2016
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