=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265758288
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HURNG JINN LIN N.D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2010
-----------------------------------------------------
Last Update Date | 11/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 981 POWELL AVE SW STE 130
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-998-8098
-----------------------------------------------------
Fax | 425-999-8022
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9805 NE 116TH ST # A328
-----------------------------------------------------
City | KIRKLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98034-4245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-998-6788
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | NT60113311
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------