Randall L Green PHD CLINICAL PSYCHOL

NPI 1154498269 - Psychologist - 103TC0700X

NPI Details
NPI 1154498269
Gender Male
Enumeration Date 11/30/2006
Last Updated 03/06/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2250 D ST NE
SALEM OR, 97301-2768, US
Phone (503) 364-6093
Fax (503) 364-5121
Business Location
2250 D ST NE
SALEM OR, 97301-2768, US
Phone (503) 364-6093
Fax (503) 364-5121
Toxanomy
Taxonomy Code 103TC0700X
License State Oregon
License Number 585
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According to our database, Randall L Green PHD CLINICAL PSYCHOL NPI is 1154498269, taxonomy code is 103TC0700X and license number is 585, license state is located at Oregon. Randall L Green PHD CLINICAL PSYCHOL physically located at 2250 D St Ne, Salem OR, 97301-2768. NPI Number Randall L Green PHD CLINICAL PSYCHOL has the Individual type.

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1154498269 NPI number is provided on an as is basis without warranty of any kind. 1154498269 is maintained by the National Plan & Provider Enumeration System. The contents of Randall L Green PHD CLINICAL PSYCHOL are for informational purposes only.