Individual
DR. NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2521
(206) 987-2721
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2521
(206) 987-2721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60643780
WA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD60643780
WA
Other
Enumeration date
05/02/2013
Last updated
07/11/2020
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