Cline, Gary Don

Cline, Gary Don is an individual health care provider with primary practice located at 4011 Talbot Rd S Suite 500, Renton WA 98055-5773. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cline, Gary Don can be contacted via phone (425) 251-5110.

Contact Information

Primary practice address
4011 Talbot Rd S Suite 500 Renton WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X PA10002668 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X PA506 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10002668 Washington

Profile Details

NPI number 1659462448
LBN Legal business name Cline, Gary Don
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659462448 NPPES
Washington MEDICAID 8373383
Washington Other 000010143887
Washington MEDICAID 805004000

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