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

Destiny Green, ICCE

Individual provider Specialist · NPI 1861375040

Destiny Green, ICCE is a Specialist in Federal Way, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

2227 SW 342nd St
Federal Way, WA 98023-7740
Phone: (206) 661-3788
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 141014 (WA)

Record details

NPI number1861375040
Entity typeIndividual (Type 1)
GenderFemale
Credentials ICCE
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 27, 2025
Mailing address2227 Sw 342nd St, Federal Way, WA 98023-7740

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