Provider Demographics
NPI:1588262869
Name:SAMUEL LIN, ND, PLLC
Entity type:Organization
Organization Name:SAMUEL LIN, ND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:J. ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-444-8844
Mailing Address - Street 1:9805 NE 116TH ST PMB #A328
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-363-9399
Mailing Address - Fax:425-363-9388
Practice Address - Street 1:13410 HWY 99
Practice Address - Street 2:STE 202
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204
Practice Address - Country:US
Practice Address - Phone:425-363-9399
Practice Address - Fax:425-363-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0409901OtherWA STATE DEPT LABOR & INDUSTRY