Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Tanya Maris, PA-C

Individual provider Physician Assistant · NPI 1750475570

Mrs. Kimberly Tanya Maris, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 1996, 30 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2006
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

904 7th Ave
Seattle, WA 98104-1132
Phone: (206) 329-1760
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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 PA60310395 (WA)

Record details

NPI number1750475570
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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