Individual
DR. JEFFRY ALAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2522 COLBY AVE, EVERETT, WA 98201
(425) 252-1231
(425) 257-9881
Mailing address
2522 COLBY AVE, EVERETT, WA 98201
(425) 252-1231
(425) 257-9881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1713TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020634
—
WA
Enumeration date
09/27/2006
Last updated
07/08/2007
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