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Contact Information

GENETTHIA T GREEN
847 NE 19TH AVE
SUITE 100
PORTLAND, OR97232-2684
 Phone: 503-238-0769
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for GENETTHIA T GREEN · (Female)

NPI # 1205261294
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2013
Last updated 09/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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