Individual
ROBERT MATT CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3209S 23RD ST 340, TACOMA, WA 98405-1602
(253) 503-2598
(253) 404-0506
Mailing address
3209 S 23RD ST STE 340, TACOMA, WA 98405-1602
(253) 503-2598
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60524188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053236
—
NC
01
—
G8944391
MDCR PTAN (K)
WA
01
—
G8960778
MDCR PTAN (P)
WA
05
—
NAN849
—
SC
Enumeration date
06/18/2008
Last updated
01/05/2017
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