Individual
NICOLE CARA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7420 SW GARDEN HOME RD STE A, PORTLAND, OR 97223-9599
(971) 407-6719
(971) 200-2422
Mailing address
9950 SW LANDAU PL, TIGARD, OR 97223-1013
(971) 407-6719
(971) 200-2422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4611
OR
Other
Enumeration date
04/21/2014
Last updated
09/08/2025
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