All Medicaid billing entities listing PINE, MARY (OWNER/PROVIDER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $110K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PINE FAMILY PRACTICE LLC | SUNNYSIDE, WA | Physician Assistant | $110K |