GENETTHIA TASHAWNA GREEN

PORTLAND, OR
NPI1205261294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2013-09-09
Last Update Date2015-09-30
Business Address
MS. GENETTHIA TASHAWNA GREEN
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
MS. GENETTHIA TASHAWNA GREEN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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