Healthcare Provider Details

I. General information

NPI: 1962606095
Provider Name (Legal Business Name): SCOTT JEFFREY FINN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 SW KING AVE APT 5
PORTLAND OR
97205-1410
US

IV. Provider business mailing address

731 SW KING AVE APT 5
PORTLAND OR
97205-1410
US

V. Phone/Fax

Practice location:
  • Phone: 503-222-2640
  • Fax:
Mailing address:
  • Phone: 503-222-2640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: