Provider Demographics
NPI:1548418817
Name:LIN, JUDY YEN-GEE (ND)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:YEN-GEE
Last Name:LIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 107TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6296
Mailing Address - Country:US
Mailing Address - Phone:425-633-2188
Mailing Address - Fax:
Practice Address - Street 1:208 107TH PL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6296
Practice Address - Country:US
Practice Address - Phone:425-633-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60017039175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath