Individual
MR. JOHN A GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60361340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811240252
—
WA
Enumeration date
10/23/2012
Last updated
01/21/2014
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