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Contact Information

JAMES GREEN, DO
1322 3RD ST SE
SUITE 240
PUYALLUP, WA98372
 Phone: 253-697-1420
 Fax: 253-697-1439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMES GREEN · (Male)

NPI Number 1083000855
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/08/2015
Last updated 08/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10748354-1204
  • UT Medicaid 3007238
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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