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KIMBERLY GREEN
NPI 1750059309
Student in an Organized Health Care Education/Training Program in Eugene, OR

Active since August 31, 2021

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Green NPPES

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

KIMBERLY GREEN (NPI 1750059309) is an individual student in an organized health care education/training program in Eugene, Oregon and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1750059309
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY GREEN
Location Address66 CLUB RDEugene, OR 97401-2420
Mailing Address1655 Nw Highland DrCorvallis, OR 97330-2019 · (530) 366-0673
Phone(541) 393-5983
Sole ProprietorNo
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1750059309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
66 CLUB RD, Eugene, OR 97401
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Other Providers at the Same Location NPPES 7

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

DR. KRIS S HALLENBURG PHD
Psychologist
66 CLUB RD, STE 120
EUGENE, OR 97401
Lane County (541) 393-5983
MS. BARBARA SCHUKART
Counselor (Mental Health)
66 CLUB RD, SUITE 120
EUGENE, OR 97401
Lane County (541) 345-2800
MR. DAVID CAMPBELL PHD
Psychologist
66 CLUB RD, SUITE 120
EUGENE, OR 97401
Lane County (541) 345-2800
WILLAMETTE COMMUNITY HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
66 CLUB RD, STE 120
EUGENE, OR 97401
Lane County (541) 345-2800
JESSICA RISCILI
Counselor (Professional)
66 CLUB RD
EUGENE, OR 97401
Lane County (541) 343-1728
RINA NICOLE HERRING LCSW
Social Worker (Clinical)
66 CLUB RD
EUGENE, OR 97401
Lane County (541) 343-1728
NICOLE M DOONEY LMFTA
Marriage & Family Therapist
66 CLUB RD
EUGENE, OR 97401
Lane County (541) 393-5983

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 Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1750059309. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Kimberly Green located?

Kimberly Green practices at 66 Club Rd, Eugene, OR 97401. The listed phone number is (541) 393-5983.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.