MEDICARE: JESSICA MARIE VAN FLEET-GREEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD60162757	WA
2	207Q00000X	Family Medicine Physician	MD179549	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	273408	OTHER	WA	L&I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679736318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIE VAN FLEET-GREEN M.D.

Provider Business Mailing Address
First Line	:	555 INTERNATIONAL WAY # B104
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-6013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 INTERNATIONAL WAY # B104
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-6013
Country	:	US
Telephone Number	:	458-544-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	01/16/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1720944655 — PACIFICSOURCE PACE, LLC
Practice Location Address:

555 INTERNATIONAL WAY STE B104
SPRINGFIELD, OR
97477-6013

Practice Phone: 458-544-0400
Practice Fax:

1083651855 — JAMES DAVID SANCHEZ MD
Practice Location Address:

555 INTERNATIONAL WAY
SPRINGFIELD, OR
97477-6013

Practice Phone: 541-799-3386
Practice Fax:

1144362443 — DAVID ANDREW DODSON MA QMHP
Practice Location Address:

555 INTERNATIONAL WAY
SPRINGFIELD, OR
97477-6013

Practice Phone: 541-799-3311
Practice Fax:

1104787704 — PACIFICSOURCE PACE, LLC
Practice Location Address:

555 INTERNATIONAL WAY STE B104
SPRINGFIELD, OR
97477-6013

Practice Phone: 425-214-2526
Practice Fax:

1790447852 — HEAR 360 NOW INC
Practice Location Address:

816 BELTLINE RD
SPRINGFIELD, OR
97477-1091

Practice Phone: 541-746-7671
Practice Fax: 541-746-2625

Directions to “ JESSICA MARIE VAN FLEET-GREEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.