Individual
DR. JENNIFER S LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 813-2000
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00043344
WA
207R00000X
Internal Medicine Physician
Primary
MD26772
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005813
—
OR
01
—
0206291
LABOR & IND.
WA
05
—
8393126
—
WA
01
—
8940783
CRIME VICTIMS
WA
01
—
P00364819
RR MEDICARE
—
Enumeration date
03/17/2006
Last updated
09/14/2015
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