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

Individual provider Physician Assistant · NPI 1649388588

Mrs. Mary Lou Pine, PA-C is a Physician Assistant in Sunnyside, Washington. Qualified in 1998, 28 years ago. Practices with Pine Family Practice LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
28
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

700 S 11th St
Sunnyside, WA 98944-2243
Phone: (509) 839-6822
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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 PA10004660 (WA)

Record details

NPI number1649388588
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pine Family Practice Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sunnyside