Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD17928 | OR |
NPI | 1023124088 |
---|---|
Provider Name | David Wei Kuo Lin |
First Address | Portland, OR 97227-1106 |
Second Address | Portland, OR 97227-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 04/02/2022 |