Clancy Lien

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10001793 Issued in WA

Practice address

8505 S Texas Rd
Anacortes, WA 98221-9340

Phone

(360) 293-0896

Fax

(360) 293-1555

NPI assigned

Mar 24, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Clarence Oliver Lien Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1023280682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 S TEXAS RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982219340",
            "telephone_number": "360-293-0896",
            "fax_number": "360-293-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 S TEXAS RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982219340",
            "telephone_number": "360-293-0896",
            "fax_number": "360-293-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "CLANCY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARENCE",
            "last_name": "LIEN",
            "middle_name": "OLIVER",
            "suffix": "JR.",
            "credential": "P.A.-C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Georgia Marie Leake, D.O.
• Elizabeth Lenz, PA-C
• Becky Sue Lewis, RPH
• Elizabeth Lewis
• Linda J Lewis, P.T.
• Bobby Joel Lind, SUDP, BA
• Chelcee Michele Lindell, SUDPT
• Effie Jo Lindstrom, RN
• Casey Llewellyn, RN
• Nancy Hoover Llewellyn, M.D.

• All providers in Anacortes, WA
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.