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PINE FAMILY INC
NPI 1205393287
Physician Assistant in Sunnyside, WA

Active since February 26, 2019CLIA 50D2152596 · Waiver
2240 E LINCOLN AVE, SUNNYSIDE, WA 98944(509) 836-2367 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Family Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE FAMILY INC (NPI 1205393287) is a healthcare organization registered as a physician assistant in Sunnyside, Washington and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mary Lou Pine, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1205393287
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NamePINE FAMILY INC
Location Address2240 E LINCOLN AVESunnyside, WA 98944-2487
Mailing Address203 Sw Malibu DrProsser, WA 99350-9419 · (509) 836-2367 · Fax (855) 784-6425
Phone(509) 836-2367
Organization SubpartNo
Authorized OfficialMary Lou PineOwner/provider · (509) 836-2367
Enumeration DateFebruary 26, 2019
✔ NPI 1205393287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2240 E LINCOLN AVE, Sunnyside, WA 98944
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Other Identifiers 1

Medicaid2109936WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2152596

Pine Family Practice LLC · Sunnyside, WA
Active · expires Apr 4, 2028
CLIA Number50D2152596
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMary L. Pine
Laboratory Phone(509) 836-2367
Laboratory LocationPine Family Practice LLC2240 E Lincoln Ave, Sunnyside, WA 98944
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD COUTURIER
Internal Medicine
2240 E LINCOLN AVE
SUNNYSIDE, WA 98944
Yakima County (501) 588-4478
PINE FAMILY PRACTICE LLC
Physician Assistant
2240 E LINCOLN AVE
SUNNYSIDE, WA 98944
Yakima County (509) 836-2367
SUNNYSIDE FAMILY MEDICINE, PC
Family Medicine
2240 E LINCOLN AVE
SUNNYSIDE, WA 98944
Yakima County (509) 837-6681
PINE FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2240 E LINCOLN AVE
SUNNYSIDE, WA 98944
Yakima County (509) 400-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Family Inc's NPI number?

The NPI number for Pine Family Inc is 1205393287. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Pine Family Inc located?

Pine Family Inc is located at 2240 E Lincoln Ave, Sunnyside, WA 98944. The listed phone number is (509) 836-2367.

What is Pine Family Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Pine Family Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2152596) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pine Family Inc was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.