Healthcare Provider Details
I. General information
NPI: 1952528952
Provider Name (Legal Business Name): MELISA L. FINCH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/19/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
630 B AVE STE 7
LAKE OSWEGO OR
97034-2960
US
IV. Provider business mailing address
630 B AVE STE 7
LAKE OSWEGO OR
97034-2960
US
V. Phone/Fax
- Phone: 971-377-8879
- Fax:
- Phone: 971-377-8879
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | 2294 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 2294 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: