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NPI Code Detail

MEDICARE: MR. JUSTIN WALTER LEE FINN SR.

MEDICARE: MR. JUSTIN WALTER LEE FINN SR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN00166906WA

General Provider Information

NPI Number : 1417899980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUSTIN WALTER LEE FINN SR.
Provider Business Mailing Address
First Line : 6400 SOUTHCENTER BLVD
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2547
Country : US
Telephone Number : 206-901-2000
Fax Number : 206-901-2010
Provider Business Practice Location Address
First Line : 3512 ALBION PL N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8875
Country : US
Telephone Number : 206-901-2000
Fax Number : 206-901-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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