| Jason Green | |
|
151 Finch Pl Sw Suite C Bainbridge Island WA 98110-2588 | |
| (206) 696-1357 | |
| Not Available |
| Full Name | Jason Green |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 151 Finch Pl Sw, Bainbridge Island, Washington |
| Authorized Official Name and Position | Richard B Green (COUNSELOR) |
| Authorized Official Contact | 2066961357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Green 353 Wallace Way Ne Apt 1 Bainbridge Island WA 98110-2846 Ph: (206) 696-1357 | Jason Green 151 Finch Pl Sw Suite C Bainbridge Island WA 98110-2588 Ph: (206) 696-1357 |
| NPI Number | 1881054948 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881054948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH00003946 (Washington) | Primary |
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