Individual
OTTO S LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
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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