Jacqueline Green
Jacqueline Green is a Specialist in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1599 State StSalem, OR 97301-4255
Phone: (503) 363-3260
Fax: (503) 585-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OR) |
|---|---|
| Specialist | Taxonomy 174400000X (OR) |
Record details
| NPI number | 1659732642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 17, 2016 |
| Last updated in NPPES | March 17, 2016 |
| Mailing address | 1599 State St, Salem, OR 97301-4255 |
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