FRED GREEN

PORTLAND, OR
NPI1265841225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- FRED GREEN
10373 NE HANCOCK ST
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
Mailing Address
-- FRED GREEN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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