SearchWashingtonSpecialist

Destiny Green, ICCE

NPI 1861375040 · on the registry since 2025

Practice

Address
2227 Sw 342nd St
Federal Way, WA 98023
Phone
(206) 661-3788

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-28
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington