Green, Marsha Ann

Green, Marsha Ann is an individual health care provider with primary practice located at 710 E Foothills Dr Ste C Suite 104, Newberg OR 97132-6125. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Marsha Ann can be contacted via phone (503) 728-8546.

Contact Information

Primary practice address
710 E Foothills Dr Ste C Suite 104 Newberg OR 97132-6125
Phone: (503) 728-8546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60146929 Washington

Profile Details

NPI number 1922203272
LBN Legal business name Green, Marsha Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jun 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922203272 NPPES
Nebraska MEDICAID 470798717-26
Nebraska MEDICAID 470798717-27
Nebraska MEDICAID 470798717-29

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