Individual
HANNAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 SE DIVISION ST STE 520, PORTLAND, OR 97214-4672
(971) 315-4781
Mailing address
959 SE DIVISION ST STE 520, PORTLAND, OR 97214-4672
(971) 315-4781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C6506
OR
101YM0800X
Mental Health Counselor
C6506
OR
Other
Enumeration date
04/03/2019
Last updated
07/12/2023
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