Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD150986 | OR |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD150986 | OR |
NPI | 1902028111 |
---|---|
Provider Name | Jason Seitetsu Lin |
First Address | Corvallis, OR 97339-1189 |
Second Address | Corvallis, OR 97330-3785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 05/11/2020 |