Richard K. Green JR.
Surgery of the Hand Plastic and Reconstructive Surgery
13712 Ne 10th Ave
Vancouver
, Washington 98685-2628
Richard K. Green JR.
Surgery of the Hand Plastic and Reconstructive Surgery
13712 Ne 10th Ave
Vancouver
, Washington 98685-2628
(360) 666-0466
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Richard K. Green JR.
- Po Box 821350
- Vancouver, WA
- Zip : 98682-0030
- Fax : (360) 666-0466
- Phone : (360) 687-5221
Second Address
- Richard K. Green JR.
- 13712 Ne 10th Ave
- Vancouver, WA
- Zip : 98685-2628
- Fax : (360) 828-1407
- Phone : (360) 823-0860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | MD00033630 | WA |
| N | 2086S0122X | Plastic and Reconstructive Surgery | MD00033630 | WA |
National Provider Identifier
| NPI | 1215935218 |
|---|---|
| Provider Name | Richard K. Green JR. |
| First Address | Vancouver, WA 98682-0030 |
| Second Address | Vancouver, WA 98685-2628 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 19/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8190035 | (05) | WA |
| G03677 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.