Individual
DR. RACHEL KIRSTEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3514
OR
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3514
OR
Other
Enumeration date
08/13/2020
Last updated
11/01/2022
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