Individual
DR. CHARLOTTE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
224287
MA
207Q00000X
Family Medicine Physician
Primary
MD28960
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00834433
MEDICARE RAILROAD
OR
05
—
500606978
—
OR
05
—
8HE584
—
AZ
Enumeration date
06/16/2006
Last updated
04/07/2021
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