Individual
JUSTIN MICHAEL GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 750-7964
(360) 768-5547
Mailing address
5908 NW 38TH AVE APT 232, CAMAS, WA 98607-5411
(617) 510-1507
(360) 768-5547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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