Individual
BRANDON JACOB GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2280 HARRISON AVE STE K, EUREKA, CA 95501-3200
(707) 443-9371
(707) 683-3086
Mailing address
2280 HARRISON AVE STE K, EUREKA, CA 95501-3200
(270) 317-2474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
67345
CA
363A00000X
Physician Assistant
PA70027024
WA
Other
Enumeration date
10/13/2025
Last updated
04/08/2026
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