Healthcare Provider Details

I. General information

NPI: 1952195166
Provider Name (Legal Business Name): RILEY PATRICK FINNIGAN PROF. COUNSELOR ASSO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 NW YORK DR
BEND OR
97703-1053
US

IV. Provider business mailing address

780 NW YORK DR
BEND OR
97703-1053
US

V. Phone/Fax

Practice location:
  • Phone: 720-656-0303
  • Fax:
Mailing address:
  • Phone: 541-668-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR9828
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: