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Organization
SALMON CREEK PLASTIC SURGERY PC
Active
Organization
SALMON CREEK PLASTIC SURGERY PC
Active
Other names
Salmon Creek Plastic Surgery PC/ASC Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD K GREEN M.D. (BUSINESS OWNER / PLASTIC SURGEON)
(360) 823-0860
Entity
Organization
Contact information
Practice address
13712 NE 10TH AVE, VANCOUVER, WA 98685
(360) 823-0860
(360) 828-1407
Mailing address
13712 NE 10TH AVE, VANCOUVER, WA 98685
(360) 823-0860
(360) 828-1407
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
—
NULL
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
602673506
WA
Other
Enumeration date
01/30/2009
Last updated
12/29/2022
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