Individual
DOUGLAS O. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7709
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00010749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1324201
—
WA
Enumeration date
12/26/2006
Last updated
05/12/2008
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