Provider Demographics
NPI:1124204748
Name:MOLIN, JUDITH LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:LYNN
Last Name:MOLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 3707 MC 61-40
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-2207
Mailing Address - Country:US
Mailing Address - Phone:425-965-3600
Mailing Address - Fax:425-965-3752
Practice Address - Street 1:NE 8TH AVE AND PARK AVE NORTH
Practice Address - Street 2:THE BOEING COMPANY
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055
Practice Address - Country:US
Practice Address - Phone:425-965-3600
Practice Address - Fax:425-965-3752
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine