Individual
LIN JUAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
(503) 659-0880
(503) 513-7425
Mailing address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA216431
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2022
Last updated
12/26/2023
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