Individual
ERIC E KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1787
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1787
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2004-0149
NM
208800000X
Urology Physician
Primary
MD60132109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264781
L & I
WA
05
—
1841339884
—
WA
Enumeration date
02/06/2007
Last updated
04/23/2013
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