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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922203272 | NPPES |
| Nebraska | MEDICAID | 470798717-26 | |
| Nebraska | MEDICAID | 470798717-27 | |
| Nebraska | MEDICAID | 470798717-29 |
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