Individual provider · Type 1 NPI

Mary Lou Pine, PA-C

Physician Assistant · Sunnyside, WA

NPI number 1649388588 Active

Practice location

700 S 11th St
Sunnyside, WA 98944-2243

Call (509) 839-6822 Map

Mailing address

203 SW Malibu Drive
Prosser, WA 99350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10004660 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649388588

Mary Lou Pine, PA-C's National Provider Identifier is 1649388588, issued on Aug 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sunnyside, WA. The record was last updated on Sep 17, 2018.