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JACQUELINE GREEN
NPI 1659732642
Peer Specialist in Salem, OR

Active since March 17, 2016
1599 STATE ST, SALEM, OR 97301(503) 363-3260(503) 585-0491 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE GREEN (NPI 1659732642) is an individual peer specialist in Salem, Oregon and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1659732642
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACQUELINE GREEN
Location Address1599 STATE STSalem, OR 97301-4255
Mailing Address1599 State StSalem, OR 97301-4255 · (503) 363-3260 · Fax (503) 585-0491
Phone(503) 363-3260
Fax(503) 585-0491
Sole ProprietorYes
Enumeration DateMarch 17, 2016
✔ NPI 1659732642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedSpecialistTaxonomy 174400000X
1599 STATE ST, Salem, OR 97301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNDA RAYLENE CONLEY
Counselor (Addiction (Substance Use Disorder))
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
DARLA SERENE-HEINECK
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
NORMA YOAS
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
LUCAS MCMELLON
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
DEBORAH GOOD
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
GERI SHOCKLEY
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
CHRISTL PLUM
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
ANGEL HARNESS
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Green's NPI number?

The NPI number for Jacqueline Green is 1659732642. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Jacqueline Green located?

Jacqueline Green practices at 1599 State St, Salem, OR 97301. The listed phone number is (503) 363-3260.

What is Jacqueline Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Green was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.