Gavin James Green

NPI #1588540991 in Burien, Washington

Provider Information

NPI Number: 1588540991
Entity Type: Individual
Name: Gavin James Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 12, 2025
Last Updated: Aug 12, 2025

Practice Location

Address: 1210 SW 136TH ST
City: Burien
State: Washington
ZIP Code: 98166-1214
Phone: (206) 257-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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