Basic Information
Provider Information
NPI: 1558577130
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINARES
FirstName: ADRIANA
MiddleName: CATALINA
NamePrefix: DR.
NameSuffix:  
Credential: MD, DRPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E 33RD ST
Address2: SUITE 100
City: VANCOUVER
State: WA
PostalCode: 986632776
CountryCode: US
TelephoneNumber: 3605147550
FaxNumber: 3605147553
Practice Location
Address1: 100 E 33RD ST
Address2: SUITE 100
City: VANCOUVER
State: WA
PostalCode: 986632776
CountryCode: US
TelephoneNumber: 3605147550
FaxNumber: 3605147553
Other Information
ProviderEnumerationDate: 05/14/2007
LastUpdateDate: 07/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD00047775WAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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