David Greene QMHP

NPI 1174829550 - Counselor - 101YM0800X

NPI Details
NPI 1174829550
Gender Male
Enumeration Date 02/02/2011
Last Updated 02/15/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2021 SW CUSTER ST
PORTLAND OR, 97219-2645, US
Phone (856) 430-5041
Fax
Business Location
2021 SW CUSTER ST
PORTLAND OR, 97219-2645, US
Phone (856) 430-5041
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, David Greene QMHP NPI is 1174829550, taxonomy code is 101YM0800X David Greene QMHP physically located at 2021 Sw Custer St, Portland OR, 97219-2645. NPI Number David Greene QMHP has the Individual type.

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1174829550 NPI number is provided on an as is basis without warranty of any kind. 1174829550 is maintained by the National Plan & Provider Enumeration System. The contents of David Greene QMHP are for informational purposes only.