Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick Green MD PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1053187310

Patrick Green MD PLLC is an Addiction (Substance Use Disorder) Counselor in Tooele, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 S Tooele Blvd
Tooele, UT 84074-2093
Phone: (435) 241-7778
Fax: (435) 248-0334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X

Record details

NPI number1053187310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Green — Medical Director/Owner · (801) 792-7335
Other names Tooele Methadone Treatment; Tooele Methadone Treatment
NPI enumeratedNovember 28, 2023
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address30 S Tooele Blvd, Tooele, UT 84074-2093

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