Individual
CLANCY LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8505 S TEXAS RD, ANACORTES, WA 98221-9340
(360) 293-0896
(360) 293-1555
Mailing address
8505 S TEXAS RD, ANACORTES, WA 98221-9340
(360) 293-0896
(360) 293-1555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001793
WA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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