Individual
DR. LESLIE A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD28802
ME
207Q00000X
Family Medicine Physician
Primary
MD60409811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047790
—
WA
Enumeration date
05/28/2008
Last updated
01/22/2025
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