| Doctor Name: | DR. JASON THOMAS GREEN |
| NPI Number: | 1275764284 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C. |
| License Number: | CH60090924 |
| Business Practice Address: | 7726 Center Blvd Se Suite 125 Snoqualmie, WA - 980658748 |
| Business Phone Number: | 4253960613 |
| Business Fax Number: | 4253960614 |
| Mailing Address: | 7726 Center Blvd Se, Suite 125 SNOQUALMIE |
| State: | WA |
| Postal Code: | 980658748 |
| Phone Number: | 4253960613 |
| Fax Number: | 4253960614 |
| NPI Enumeration Date: | 08/07/2009 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111NT0100X |
| License Number: | CH60090924 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | Thermography |
| Taxonomy Definition: | |