Provider Demographics
NPI:1184767741
Name:GREEN, AARON J (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359896
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-3425
Mailing Address - Fax:206-744-4241
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359896
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3425
Practice Address - Fax:206-744-3427
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2010-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000493062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE67688Medicare UPIN