Individual
JEREMY CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 S DIVISION ST, SPOKANE, WA 99202-1331
(509) 474-2100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6062103
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2014
Last updated
05/03/2021
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