Provider Demographics
NPI:1528221819
Name:LIN, JENNIFER K (DO)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:K
Last Name:LIN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3600 LIND AVE SW
Mailing Address - Street 2:STE 100
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4934
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:3915 TALBOT RD S
Practice Address - Street 2:STE 401
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5738
Practice Address - Country:US
Practice Address - Phone:425-656-4224
Practice Address - Fax:425-656-5099
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2020-10-07
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Provider Licenses
StateLicense IDTaxonomies
WAOL20000115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine