Individual
MR. ROSS M KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6450
Mailing address
9767 SE 41ST ST, MERCER ISLAND, WA 98040
(206) 326-3236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR AND INDUSTRIES #
WA
01
—
3103KL
BLUE SHIELD #
WA
05
—
8369894
—
WA
01
—
US0872020
AETNA SPECIALIST PIN
WA
Enumeration date
11/06/2006
Last updated
07/08/2007
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