Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | PO60362085 | WA |
Y | 213ES0000X | Sports Medicine | PO60362085 | WA |
N | 213ES0103X | Foot & Ankle Surgery | 1257 | MA |
NPI | 1295046555 |
---|---|
Provider Name | Linda Oh |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 18/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295046555 | (05) | WA |