Individual
DR. KATHERINE LING-GONG GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
471 BEAR CREEK DR, PHOENIX, OR 97535-9626
(541) 535-6665
(541) 535-6665
Mailing address
5165 DARK HOLLOW RD, MEDFORD, OR 97501-9698
(541) 245-0910
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1487
OR
1041C0700X
Clinical Social Worker
Primary
L2780
OR
Other
Enumeration date
11/26/2006
Last updated
09/11/2025
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