Individual
MS. CARYN ANNE CLIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273-4105
(360) 424-7041
(360) 424-2418
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C05348
MD
363AS0400X
Surgical Physician Assistant
Primary
PA60837693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097777
—
WA
Enumeration date
03/14/2014
Last updated
05/03/2018
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