Healthcare Provider Details

I. General information

NPI: 1851102347
Provider Name (Legal Business Name): CAMRYN KLEIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3726 BROADWAY STE 201
EVERETT WA
98201-3788
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 110
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-317-9119
  • Fax: 425-317-9118
Mailing address:
  • Phone: 425-317-9119
  • Fax: 425-317-9118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.PA.70097313
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA.PA.70097313
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: