MS. Genetthia Tashawna Green
MS. Genetthia Tashawna Green is a Rehabilitation Practitioner in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
847 NE 19th Ave Ste 100Portland, OR 97232-2684
Phone: (503) 238-0769
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1205261294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 9, 2013 |
| Last updated in NPPES | September 30, 2015 |
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