Provider Demographics
NPI:1912224692
Name:LIN, ESTELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ESTELLE
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 GEARY BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3416
Mailing Address - Country:US
Mailing Address - Phone:415-535-4130
Mailing Address - Fax:
Practice Address - Street 1:31833B GATEWAY CENTER BLVD S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5616
Practice Address - Country:US
Practice Address - Phone:253-214-1920
Practice Address - Fax:253-214-1930
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120352207R00000X
WAMD60456329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine