Provider Demographics
NPI:1316768583
Name:MAITRI GREEN, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MAITRI GREEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 NE 94TH AVE STE D
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6180
Mailing Address - Country:US
Mailing Address - Phone:360-558-7730
Mailing Address - Fax:
Practice Address - Street 1:5115 NE 94TH AVE STE D
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6180
Practice Address - Country:US
Practice Address - Phone:360-558-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor