Individual
DAGAN ADAIR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6358
OR
225100000X
Physical Therapist
PT959
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116812600
—
WY
05
—
500626304
—
OR
01
—
P00877705
RR MEDICARE
OR
Enumeration date
07/31/2006
Last updated
02/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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