Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randall L Green, PHDCLINICALPSYCHOL

Individual provider Clinical Psychologist · NPI 1154498269

Randall L Green, PHDCLINICALPSYCHOL is a Clinical Psychologist in Salem, Oregon. Qualified in 1982, 44 years ago. Practices with Mid Valley Counseling Center Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
44
Licensed in
OR
In the registry since
2006
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Practice location Address checks out

2250 D St NE
Salem, OR 97301-2768
Phone: (503) 364-6093
Fax: (503) 364-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 585 (OR)

Record details

NPI number1154498269
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDCLINICALPSYCHOL
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESMarch 6, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Mid Valley Counseling Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salem