DOUGLAS JON GREENE (NPI# 1508219593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508219593 |
| Entity Type | Individual |
| Full Name | DOUGLAS JON GREENE |
| Credential | CDPT |
| Practice Address |
2851 Lower Elwha Rd 933 E First St Port Angeles WA 98363-8409 |
| Practice Telephone | 3604524432 |
| Practice Fax Number | 3604524599 |
| Mailing Telephone | 3604524432 |
| Mailing Fax Number | 3604524599 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO 60633836 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598048373 | Douglas Alan Greene | Internal Medicine | 53 Frontage Rd, Peryville IIi Corporate Park, Third Floor, Hampton, NJ 08827-4031 | 2011-09-27 |
| 1093970725 | Douglas Greene | Counselor | 1840 Union Ave, North Bend, OR 97459-3422 | 2008-07-22 |
| 1902074123 | Douglas C Greene | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2008-02-11 |
| 1467528588 | Douglas Allan Greene | Physician Assistant | 214 W 1500 S, Bountiful, UT 84010-7408 | 2006-11-28 |
| 1649283540 | Douglas R Greene | Anesthesiology | 1261 S Tamiami Trl, Sarasota, FL 34239-2219 | 2006-08-14 |
| 1932123866 | Douglas Greene | Anesthesiology | 450 E Romie Ln, Salinas, CA 93901-4029 | 2006-07-26 |
| 1861461642 | Douglas E Greene | Family Medicine | 855 Montgomery, Fort Worth, TX 76107-2553 | 2006-03-15 |
| Street Address |
2851 LOWER ELWHA RD 933 E FIRST ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316023 | Lower Elwha Klallam Tribe | Clinic/Center | 2851 Lower Elwha Rd, Port Angeles, WA 98363-8409 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073185 | Sandra Lier | Technician | 1064 Freshwater Park Rd., Port Angeles, WA 98363 | 2019-09-20 |
| 1053969451 | Kari Ann Walen | Physician Assistant | 4407 Fairmont Ave, Port Angeles, WA 98363 | 2019-08-28 |
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1982198214 | Serenity House of Clallam County | Case Management | 2203 W. 18th Street, Port Angeles, WA 98363 | 2018-06-20 |
| 1528564325 | Katelynne Mcdaniels | Behavior Technician | 1915 West 5th St, Port Angeles, WA 98363 | 2018-04-02 |
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1710314703 | Allan M Steigerwald | Anesthesiology | 4217 South Bean Road, Port Angeles, WA 98363 | 2013-10-04 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1518297001 | John Robert Zey | General Practice | 601 Diamond Vista Drive, Port Angeles, WA 98363 | 2010-01-05 |
| 1043540651 | Connie Lou Landrum | General Practice | 641 Diamond Vista Dr, Port Angeles, WA 98363 | 2010-01-04 |
| Find all providers in zip 98363 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1457966418 | Mark Carl Sivesind | Counselor | 806 S Vine St, Port Angeles, WA 98362-7982 | 2020-09-15 |
| 1073085031 | Crystal Ann Oravetz | Counselor | 243613 W Highway 101, Port Angeles, WA 98363-9810 | 2018-12-31 |
| 1396217774 | Gill Martin Orr | Counselor | 221 N Race St, Port Angeles, WA 98362-3513 | 2018-12-21 |
| 1083004048 | Annette-marie Vetter | Counselor | 330 E 1st St, Port Angeles, WA 98362-3133 | 2015-01-29 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| 1275808974 | Tricia Ann Burks | Counselor | 1210 E Front St, Suite C, Port Angeles, WA 98362-4325 | 2012-03-13 |
| 1316214232 | Timothy Craig | Counselor | 834 Gunn Rd, Port Angeles, WA 98362-9575 | 2011-11-21 |
| 1700028867 | Michael Glen Ray | Counselor | 1026 East First Street, Suite 2, Port Angeles, WA 98362 | 2009-04-03 |
| 1346497708 | Gayle L Mccormick | Counselor | 3430 Hwy 101 E, Suite 10, Port Angeles, WA 98362 | 2008-08-27 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.