Individual
LIN SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N LAVENTURE RD, MOUNT VERNON, WA 98273-2766
(360) 428-4075
(360) 428-5813
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0112
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045644
WA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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