Provider Demographics
NPI:1306425806
Name:LIN, MORGAN P
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:P
Last Name:LIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 RAVENNA AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5840
Mailing Address - Country:US
Mailing Address - Phone:206-972-8365
Mailing Address - Fax:
Practice Address - Street 1:7038 RAVENNA AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5840
Practice Address - Country:US
Practice Address - Phone:206-972-8365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC16484171R00000X
WAMC16728171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter