MEDICARE: ALLISON GREENE

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	225X00000X	Occupational Therapist	61060012	WA

General Provider Information

NPI Number	:	1952259939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON GREENE

Provider Business Mailing Address
First Line	:	3905 S CLINTON RD
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-1204
Country	:	US
Telephone Number	:	509-599-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 N MOLTER RD
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-8603
Country	:	US
Telephone Number	:	509-558-5400
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ ALLISON GREENE ” Practice Location

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