Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pine Family Practice LLC

Organization Physician Assistant · NPI 1770063968

Pine Family Practice LLC is a Physician Assistant in Sunnyside, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2240 E Lincoln Ave
Sunnyside, WA 98944-2487
Phone: (509) 836-2367
Fax: (855) 784-6425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1004660 (WA)

Record details

NPI number1770063968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Pine — Owner/Provider · (509) 778-2703
NPI enumeratedAugust 16, 2018
Last updated in NPPESNovember 7, 2018
Mailing address203 Sw Malibu Dr, Prosser, WA 99350-9419

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