Active NPI
Dr. Marsha a. Green, L.L.C.
- Community/Behavioral Health Agency
- Newberg, OR
National Provider Identifier
1477906048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 122027899
- Legal business name
- DR. MARSHA A. GREEN, L.L.C.
- Practice address
- 710C Foothills Dr, Ste 104
Newberg, OR 97132 - Phone
- (503) 728-8546
- Fax
- (844) 640-2822
- NPI assigned
- Jul 19, 2016
- Last updated
- Jul 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marsah Ann Green, PSY.D.
- Title
- Owner
- Phone
- (503) 728-8546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 122027899 | OR | Primary |
Addresses
Primary practice location
710C Foothills Dr, Ste 104
Newberg, OR 97132
Mailing address
PO Box 494
Newberg, OR 97132-0494
Phone (503) 728-8546
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Newberg, OR
- NPI 1922203272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468886400000",
"number": "1477906048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 494",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971320494",
"telephone_number": "503-728-8546",
"fax_number": "844-640-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710C FOOTHILLS DR, STE 104",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-728-8546",
"fax_number": "844-640-2822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MARSHA A. GREEN, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MARSAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-728-8546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "122027899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.