RANDALL L GREEN

SALEM, OR
NPI1154498269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  585)
Enumeration Date2006-11-30
Last Update Date2008-03-06
Business Address
-- RANDALL L GREEN PhD Clinical Psychol
2250 D ST NE
SALEM, OR 97301-2768
Phone number: 503-364-6093
Mailing Address
-- RANDALL L GREEN PhD Clinical Psychol
2250 D ST NE
SALEM, OR 97301-2768
Phone number: 503-364-6093
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