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

Individual provider Medical Physician Assistant · NPI 1073940219

Rolin Alan Pruyn, PA-C is a Physician Assistant in Kirkland, Washington. Qualified in 2013, 13 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2013
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

12303 NE 130th Ln Ste 550
Kirkland, WA 98034-3099
Phone: (425) 899-6972
Fax: (425) 899-6970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60435739 (WA)

Record details

NPI number1073940219
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 31, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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