Provider Demographics
NPI:1265518591
Name:SAIN, LINDA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:SAIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4306 SW JUNEAU ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1457
Mailing Address - Country:US
Mailing Address - Phone:828-421-8313
Mailing Address - Fax:
Practice Address - Street 1:555 ANDOVER PARK W
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3379
Practice Address - Country:US
Practice Address - Phone:253-277-0188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103516363A00000X
WA61407706363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2762079Medicare PIN