Individual
DR. MARK DOUGLAS KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2319 N 45TH ST STE 209, SEATTLE, WA 98103-6978
(206) 468-9654
Mailing address
44930 MORAND DRIVE PMB 114, CASPAR, CA 95420-0147
(707) 225-4744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00043234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03967F
—
CA
Enumeration date
03/23/2007
Last updated
09/17/2020
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