Individual
SCOTT WAYNE LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-2840
(360) 297-7052
Mailing address
32020 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9649
(360) 297-9614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00033520
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012763
—
WA
01
—
5163LI
REGENCE RIDER#
WA
01
—
910875163-39
KPS ID#
WA
Enumeration date
06/26/2006
Last updated
11/04/2013
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