Healthcare Provider Details

I. General information

NPI: 1285028563
Provider Name (Legal Business Name): LINDY WEST D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDY CRAFT

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

PO BOX 1189
CORVALLIS OR
97339-1189
US

V. Phone/Fax

Practice location:
  • Phone: 206-520-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberOP61037783
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDO191653
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: