Individual
LINUS A LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5110
(425) 793-4707
Mailing address
3600 LIND AVE SW, SUITE 100 - ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 225-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60479592
WA
208M00000X
Hospitalist Physician
Primary
MD60479592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020081
—
WA
01
—
G8963555
MEDICARE
WA
Enumeration date
05/03/2011
Last updated
03/27/2019
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