Green, Richard K.

Green, Richard K. is an sole proprietor health care provider with primary practice located at 13712 Ne 10Th Ave , Vancouver WA 98685-2628. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Green, Richard K. can be contacted via phone (360) 823-0860.

Contact Information

Primary practice address
13712 Ne 10Th Ave Vancouver WA 98685-2628
Phone: (360) 823-0860
Fax: (360) 828-1407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X MD00033630 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD00033630 Washington

Profile Details

NPI number 1215935218
LBN Legal business name Green, Richard K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jul 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215935218 NPPES
Washington MEDICAID 8190035

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