Individual
JULIAN W KLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12040 NE 128TH STREET, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00038004
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00038004
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008KL
REGIANCE BLUE SHIELD
WA
05
—
1112374
—
WA
05
—
213588
—
OR
05
—
8257644
—
WA
Enumeration date
05/19/2006
Last updated
01/12/2009
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