MEDICARE: ROSS W FINKE LCSW

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
1	1041C0700X	Clinical Social Worker	LW00005579	WA

General Provider Information

NPI Number	:	1730303314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSS W FINKE LCSW

Provider Business Mailing Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	SUITE 214
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-688-7877
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	SUITE 214
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-688-7877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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