Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD60224936 | WA |
NPI | 1285876185 |
---|---|
Provider Name | Samuel Cote Lien |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98208-6642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 20/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G8941517 | (02) | WA |