Healthcare Provider Details

I. General information

NPI: 1558207910
Provider Name (Legal Business Name): NATALIA R LYNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 MILL AVE S APT 7
RENTON WA
98057-6062
US

IV. Provider business mailing address

516 MILL AVE S APT 7
RENTON WA
98057-6062
US

V. Phone/Fax

Practice location:
  • Phone: 206-787-0203
  • Fax:
Mailing address:
  • Phone: 206-787-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number59906
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: