| NPI Details | |
|---|---|
| NPI | 1578856761 |
| Gender | Female |
| Enumeration Date | 05/19/2011 |
| Last Updated | 05/19/2011 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 810 E 29TH AVE SPOKANE WA, 99203-3219, US |
|
| Phone | (509) 838-3508 |
| Fax | |
| Business Location | |
|---|---|
| 1315 E 36TH AVE SPOKANE WA, 99203-3061, US |
|
| Phone | (509) 747-5782 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 183500000X |
| License State | Washington |
| License Number | PH 00009025 |
| Remove 1578856761 NPI Number | |
According to our database, Colleen Adams Green NPI is 1578856761, taxonomy code is 183500000X and license number is PH 00009025, license state is located at Washington. Colleen Adams Green physically located at 810 E 29th Ave, Spokane WA, 99203-3219. NPI Number Colleen Adams Green has the Individual type.
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1578856761 NPI number is provided on an as is basis without warranty of any kind. 1578856761 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Adams Green are for informational purposes only.
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