Provider Demographics
NPI:1588248850
Name:LIN, ISAAC TIAN-HANG (RD)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:TIAN-HANG
Last Name:LIN
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 174TH CT NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5608
Mailing Address - Country:US
Mailing Address - Phone:206-335-8755
Mailing Address - Fax:
Practice Address - Street 1:2015 E WEST HWY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2602
Practice Address - Country:US
Practice Address - Phone:301-587-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered