Individual
OTTO S LIN
Active
Individual
OTTO S LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00039421
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
01
—
1841302650
MONTANA DSHS
WA
01
—
3688LI
BLUE SHIELD
WA
05
—
8284838
—
WA
01
—
MD8278W
ALASKA MEDICAID
WA
01
—
US2574597
AETNA/USHC SPECIALIST
WA
Enumeration date
08/31/2006
Last updated
11/16/2012
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