Provider Demographics
NPI:1871003137
Name:LINN, GEOFFREY RICHARD (DPM)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:RICHARD
Last Name:LINN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13501 152ND STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9244
Mailing Address - Country:US
Mailing Address - Phone:360-619-2236
Mailing Address - Fax:
Practice Address - Street 1:10049 KITSAP MALL BLVD NW STE 109
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8901
Practice Address - Country:US
Practice Address - Phone:360-698-2505
Practice Address - Fax:360-698-2514
Is Sole Proprietor?:No
Enumeration Date:2017-10-01
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPL60864268213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery