Ms Angelene Green, QMHA, CPRP is a
Case Manager/care Coordinator based in Portland, Oregon. Ms Angelene Green is licensed to practice in Oregon (license number ) and her current practice location is
14600 Nw Cornell Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 645-3581.
NPI number for Ms Angelene Green is 1750875530 and her current mailing address is 14600 Nw Cornell Rd, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750875530.
Healthcare Provider's Profile
| Full Name | Ms Angelene Green |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 14600 Nw Cornell Rd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750875530
- Provider Enumeration Date: 06/15/2018
- Last Update Date: 11/15/2018
Medical Identifiers
Medical identifiers for Ms Angelene Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750875530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Angelene Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Angelene Green, QMHA, CPRP
14600 Nw Cornell Rd,
Portland, OR 97229-5442
Ph: (503) 645-3581 | Ms Angelene Green, QMHA, CPRP
14600 Nw Cornell Rd,
Portland, OR 97229
Ph: (503) 645-3581 |
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