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NPI Code Detail

MEDICARE: NORA Y LIN

MEDICARE:   NORA Y LIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist31931CA

General Provider Information

NPI Number : 1194431395
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA Y LIN
Provider Business Mailing Address
First Line : 4560 SE INTERNATIONAL WAY STE 100
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-4628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20090 STANTON AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5203
Country : US
Telephone Number : 510-538-8464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 01/31/2023

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Directions to “ NORA Y LIN ” Practice Location

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