JAMES DAVID GREEN

MEDFORD, OR
NPI1316748973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-07-04)
Enumeration Date2025-03-20
Last Update Date2025-03-20
Business Address
JAMES DAVID GREEN cadc1
750 BIDDLE RD # A
MEDFORD, OR 97504-6178
Phone number: 541-690-1990
Mailing Address
JAMES DAVID GREEN cadc1
750 BIDDLE RD
MEDFORD, OR 97504-6178
Phone number: 541-690-1990