Individual
MRS. THERESA LORRAINE LINAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60583033
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518266485
—
WA
01
—
P01531287
RR PTAN
WA
Enumeration date
03/17/2011
Last updated
06/29/2022
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