Individual
CLIFTON VINCENT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12039 NE 128TH ST STE 400, KIRKLAND, WA 98034-3029
(206) 454-9133
(425) 392-3561
Mailing address
12039 NE 128TH ST STE 400, KIRKLAND, WA 98034-3029
(206) 454-9133
(425) 392-3561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60895418
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60895418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113108
—
WA
Enumeration date
12/28/2017
Last updated
12/28/2024
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