Provider Demographics
NPI:1518040906
Name:LIN, JULIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3634 N STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-5600
Mailing Address - Country:US
Mailing Address - Phone:360-628-0225
Mailing Address - Fax:360-352-0831
Practice Address - Street 1:615 N 2ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2232
Practice Address - Country:US
Practice Address - Phone:360-754-4539
Practice Address - Fax:360-352-0831
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000475842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H81434Medicare UPIN