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Individual

EDWARD LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5111 SE LAKE RD, MILWAUKIE, OR 97222-4767
(503) 771-0055
Mailing address
4502 SE PENNYWOOD DR, MILWAUKIE, OR 97222-3119
(352) 871-7024

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-183-869
OR

Other

Enumeration date
05/27/2014
Last updated
06/27/2022
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