MEDICARE: ISAAC TIAN-HANG LIN RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588248850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAAC TIAN-HANG LIN RD

Provider Business Mailing Address
First Line	:	4026 174TH CT NE
Second Line	:
City	:	REDMOND
State	:	WA
Zip	:	98052-5608
Country	:	US
Telephone Number	:	206-335-8755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2602
Country	:	US
Telephone Number	:	301-587-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

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Directions to “ ISAAC TIAN-HANG LIN RD” Practice Location

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