Healthcare Provider Details

I. General information

NPI: 1730487117
Provider Name (Legal Business Name): DANA MARIE FINCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CENTER ST NE
SALEM OR
97301-4592
US

IV. Provider business mailing address

760 SPEARS AVE SE
SALEM OR
97302-3455
US

V. Phone/Fax

Practice location:
  • Phone: 503-588-5342
  • Fax: 503-566-2920
Mailing address:
  • Phone: 541-891-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number200541286RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: