Individual provider Active NPI

Richard Lee-Tsong Lin, M.D., PH.D.

  • Dermatology Physician
  • Prosser, WA
National Provider Identifier
1235587494
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60971388 Issued in WA
Practice address
820 Memorial St Ste 3
Prosser, WA 99350-2504
Phone
(509) 786-5599
NPI assigned
May 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Dermatology Physician 207N00000X MD60971388 WA Primary

Addresses

Primary practice location

820 Memorial St Ste 3
Prosser, WA 99350-2504

Mailing address

PO Box 622
Medina, WA 98039-0622

Other identifiers 2

IdentifierTypeStateIssuer
MD60971388OtherWAWA STATE MEDICAL LICENSE
2161323MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817003375 WA Practitioner - Dermatology 2668760083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as apm
Quality
82.11
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD60971388WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Feb 1, 2026 Accepting new patients
104TH Avenue Medical Clinic Incorporated Internal Medicine CurrentSince Nov 11, 2020 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 3, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Feb 1, 2026 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 3, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Feb 1, 2026 Accepting new patients

Locations

3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

24604 104th Ave SE
Ste 202
Kent, WA 98030
Phone (253) 398-7000

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

820 Memorial St
Ste 3
Prosser, WA 99350
Phone (509) 786-5599

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1235587494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980390622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MEMORIAL ST STE 3",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993502504",
            "telephone_number": "509-786-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "RICHARD",
        "middle_name": "LEE-TSONG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-28",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60971388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL LICENSE",
            "identifier": "MD60971388",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

Verify at the official NPI Registry.