Healthcare Provider Details

I. General information

NPI: 1356355978
Provider Name (Legal Business Name): JOE CHIEN MING LIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HOSPITAL DR
SEDRO WOOLLEY WA
98284-4327
US

IV. Provider business mailing address

452 16TH ST
BELLINGHAM WA
98225-6313
US

V. Phone/Fax

Practice location:
  • Phone: 360-856-6021
  • Fax:
Mailing address:
  • Phone: 360-325-6523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number00026902
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number60061927
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierG8897582
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerMEDICARE IND. PTAN
# 2
Identifier0274696
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerLABOR AND INDUSTRY
# 3
IdentifierNPI
Identifier TypeOTHER
Identifier StateGA
Identifier Issuer1356355978
# 4
Identifier60061927
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerWASHINGSTON STATE LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: