Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clifton Vincent Phillips, PA-C

Individual provider Physician Assistant · NPI 1699281642

Clifton Vincent Phillips, PA-C is a Physician Assistant in Kirkland, Washington. Qualified in 2018, 8 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12039 NE 128th St Ste 400
Kirkland, WA 98034-3029
Phone: (206) 454-9133
Fax: (425) 392-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60895418 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60895418 (WA)

Record details

NPI number1699281642
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 28, 2024
Certification dateDecember 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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