Provider Demographics
NPI:1982466033
Name:LIN, JESSICA YU-JUNG (ND)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:YU-JUNG
Last Name:LIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:YU-JUNG
Other - Middle Name:JESSICA
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:8626 NE 134TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5294
Mailing Address - Country:US
Mailing Address - Phone:425-866-1480
Mailing Address - Fax:
Practice Address - Street 1:3216 NE 45TH PL STE 300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4028
Practice Address - Country:US
Practice Address - Phone:425-866-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60123692175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath