Basic Information
| Provider Information | |||||||||
| NPI: | 1992797534 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAI | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11511 CANTERWOOD BLVD NW | ||||||||
| Address2: | STE 300 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983325820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535302940 | ||||||||
| FaxNumber: | 2535302945 | ||||||||
| Practice Location | |||||||||
| Address1: | 11511 CANTERWOOD BLVD NW | ||||||||
| Address2: | STE 300 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983325820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535302940 | ||||||||
| FaxNumber: | 2535302945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2005 | ||||||||
| LastUpdateDate: | 03/22/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 101290 | MO | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | MD60113850 | WA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 208885012 | 05 | MO | MEDICAID | 0258250 | 01 | WA | STATE L&I | OTHER |