Healthcare Provider Details

I. General information

NPI: 1316107352
Provider Name (Legal Business Name): LINA FINE MD, MPHIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 02/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 17TH AVE FLOOR A
SEATTLE WA
98122-5788
US

IV. Provider business mailing address

550 17TH AVE FLOOR A
SEATTLE WA
98122-5788
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-4744
  • Fax: 206-215-1135
Mailing address:
  • Phone: 206-386-4744
  • Fax: 206-215-1135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number234634
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD60165825
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: