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Individual

DR. MARGARET L. GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 667-2586
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 667-2586

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60021646
WA
207RI0200X
Infectious Disease Physician
Primary
MD60021646
WA
208000000X
Pediatrics Physician
60021646
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0279798
L&I
WA
05
1558586156
WA
01
MD60021646
MEDICAL LICENSE
WA
Enumeration date
04/17/2007
Last updated
03/30/2012
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