Individual provider Active NPI

Cindy Lin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
National Provider Identifier
1962883579
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60968868 Issued in WA
Practice address
601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297
Phone
(360) 977-7815
Fax
(888) 568-4875
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60968868 WA Primary

Addresses

Primary practice location

601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297

Mailing address

601 SE 117TH Ave Ste 240
Vancouver, WA 98683-5297
Phone (360) 977-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190814002093 WA Practitioner - Podiatry 5294028411 Reassigns benefits to 2 organizations
I20230126002399 OR Practitioner - Podiatry 5294028411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

415 SE 177TH Ave
Vancouver, WA 98683-4201
Phone (503) 430-1777

5500 NE 82ND Ave
Vancouver, WA 98662-9410
Phone (503) 430-1777

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

6800 SW 105TH Ave
Suite 206
Beaverton, OR 97008-5487

801 SE Park Crest Ave
Vancouver, WA 98683-1300
Phone (360) 260-2200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue478
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Physicians, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 20, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 20, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 20, 2023 Accepting new patients
Ankle and Foot Physicians and Surgeons LLC Foot & Ankle Surgery PastSince Aug 1, 2019 Accepting new patients

Locations

6800 SW 105th Ave
Beaverton, OR 97008

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879

203 SE Park Plaza Dr
Ste 140
Vancouver, WA 98684
Phone (360) 449-7002

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1962883579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-977-7815",
            "fax_number": "888-568-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-977-7815",
            "fax_number": "888-568-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CINDY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60968868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.