Green, Jacqueline

Green, Jacqueline is an sole proprietor health care provider with primary practice located at 1599 State St , Salem OR 97301-4255. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Green, Jacqueline can be contacted via phone (503) 363-3260.

Contact Information

Primary practice address
1599 State St Salem OR 97301-4255
Phone: (503) 363-3260
Fax: (503) 585-0491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Oregon
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1659732642
LBN Legal business name Green, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 10 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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