Individual provider · Type 1 NPI
Clarice Jeanine Gill, PA-S
Surgical Physician Assistant · Bellevue, WA
NPI number
1790630747
Active
Practice location
11511 NE 10th St
Bellevue, WA 98004-8578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA.PA.70145425 (WA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1790630747
Clarice Jeanine Gill, PA-S's National Provider Identifier is 1790630747, issued on Mar 3, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bellevue, WA. The record was last updated on Oct 12, 2026.