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Richard K. Green JR., MD
Plastic and Reconstructive Surgery Physician in Vancouver, Washington
NPI 1215935218

Richard K. Green JR. is a Plastic and Reconstructive Surgery Physician based in Vancouver, WA and is specialized in Plastic and Reconstructive Surgery. Richard K. Green JR. practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Richard K. Green JR. is 1215935218 and holds a License No. MD00033630 (Washington).

The current practice location address for Richard K. Green JR. is 13712 Ne 10Th Ave, Vancouver, WA and can be reached out via phone at 360-823-0860 and via fax at 360-828-1407.

Location: 13712 Ne 10Th Ave, Vancouver, WA, 98682-0030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215935218
Provider Name
Richard K. Green JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13712 Ne 10Th Ave, Vancouver, WA, 98682-0030
Phone Number
360-823-0860
Fax Number
360-828-1407
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8190035 05 WA
institution
Provider Business Practice Location Address Details
Address
13712 Ne 10Th Ave
City
Vancouver
State
Washington
Zip
98685-2628
Phone Number
360-823-0860
Fax Number
360-828-1407
person
Provider Business Mailing Address Details
Address
13712 Ne 10Th Ave
City
Vancouver
State
Washington
Zip
98685-2628
Phone Number
360-823-0860
Fax Number
360-828-1407
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
MD00033630 (Washington)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
MD00033630 (Washington)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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