Individual
MARTIN L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, SUITE 200, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00010750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101161947
RR MEDICARE
WA
05
—
1329804
—
WA
01
—
78906
L & I
WA
Enumeration date
10/24/2005
Last updated
12/28/2009
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