Theodore Green is a family nurse practitioner in Tacoma, WA with 5 years of experience. Theodore Green NPI is 1053954776. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3716 PACIFIC AVE STE E
TACOMA, WA
ZIP 98418-836
Phone: (253) 474-5141
The NPI 1053954776 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/25/2019 and was last updated on 3/18/2021.