Provider Demographics
NPI:1932151446
Name:JIN, CATHERINE YING (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:YING
Last Name:JIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 SE 27TH ST
Mailing Address - Street 2:#104
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2844
Mailing Address - Country:US
Mailing Address - Phone:206-275-3588
Mailing Address - Fax:206-275-2073
Practice Address - Street 1:7707 SE 27TH ST
Practice Address - Street 2:#104
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2844
Practice Address - Country:US
Practice Address - Phone:206-275-3588
Practice Address - Fax:206-275-2073
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042812207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8371262Medicaid
WAH98673Medicare UPIN
WA8371262Medicaid