Provider Demographics
NPI:1265758288
Name:LIN, HURNG JINN (ND)
Entity type:Individual
Prefix:DR
First Name:HURNG JINN
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:SAMUEL
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:9805 NE 116TH ST # A328
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4245
Mailing Address - Country:US
Mailing Address - Phone:425-998-6788
Mailing Address - Fax:
Practice Address - Street 1:981 POWELL AVE SW STE 130
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-998-8098
Practice Address - Fax:425-999-8022
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60113311175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath