Healthcare Provider Details

I. General information

NPI: 1275465163
Provider Name (Legal Business Name): PO-AN LIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 215
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

600 4TH ST SW
WASHINGTON DC
20024-2869
US

V. Phone/Fax

Practice location:
  • Phone: 202-466-9719
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: