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1760536296
ROBERTA JEANNE GREEN
PORTLAND, OR
NPI
1760536296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- ROBERTA JEANNE GREEN QMHA
7621 N PORTSMOUTH AVE
PORTLAND, OR 97203-5953
Phone number: 503-240-7599
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Mailing Address
-- ROBERTA JEANNE GREEN QMHA
617 NE 91ST AVE
VANCOUVER, WA 98664-3220
Phone number: 360-944-0047
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