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Individual

NANCY LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10330 SE 32ND AVE, SUITE 305, MILWAUKIE, OR 97222-6587
(503) 513-1800
(503) 513-1850
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-107269
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD25207
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022820
OR
05
036107269
IL
01
P00816947
RR MEDICARE
OR
Enumeration date
02/01/2006
Last updated
10/06/2012
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