Individual provider · Type 1 NPI

Heather Brook Remaklus Green, B.A.

Mental Health Counselor · Portland, OR

NPI number 1326398595 Active

Practice location

4941 NE 17th Ave
Portland, OR 97211-5709

Fax (503) 282-3290

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326398595

Heather Brook Remaklus Green, B.A.'s National Provider Identifier is 1326398595, issued on Sep 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 14, 2012.