Individual
MELINDA K GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 397-8474
Mailing address
6926 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 397-8474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60080434
WA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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