Courtney Green, M.D.
Courtney Green, M.D. is a Trauma Surgery Physician in Vancouver, WA, registered under NPI 1053653980. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 505 NE 87TH AVE STE 301, Vancouver, WA 98664. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MC-2262 | ID | Surgical Critical Care Physician |
| 14763-320 | WI | Trauma Surgery Physician |
| 61408747 | WA | Trauma Surgery Physician primary |
| 67945 | MN | Surgical Critical Care Physician |
| 134245 | CA | Surgery Physician |
Licences are recorded in 5 states: ID, WI, WA, MN, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 3375836570
Enrolled in Medicare 4 times, across 4 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Minnesota | I20200804000396 | Practitioner - General Surgery |
| Washington | I20230222001562 | Practitioner - General Surgery |
| Idaho | I20250807003989 | Practitioner - General Surgery |
| Wisconsin | I20260303001156 | Practitioner - General Surgery |
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. There are 4 separate enrolment records across 4 states (MN, WA, ID, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 5 states
This provider holds licences in 5 states: California, Idaho, Minnesota, Washington and Wisconsin. The practice address on file is in Vancouver, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 61408747
- Specialty
- Trauma Surgery Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Trauma Surgery covers
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. NUCC Health Care Provider Taxonomy, code 2086S0127X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | MC-2262 | ID | |
| 2086S0127X | Trauma Surgery Physician Trauma Surgery | 14763-320 | WI | |
| 2086S0127X | Trauma Surgery Physician Trauma Surgery | 61408747 | WA | primary |
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | 67945 | MN | |
| 208600000X | Surgery Physician | 134245 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053653980 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 18, 2013 |
| Last updated | Sep 16, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | M.D. |
| Practice address |
505 NE 87TH AVE STE 301 Vancouver, WA 98664 (360) 514-1854 Fax (360) 514-6063 |
| Mailing address |
400 E 3RD ST Duluth, MN 55805 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 6 | 5 | 3 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 3 | 5 | 6 | 9 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.