Healthcare Provider Details

I. General information

NPI: 1427005164
Provider Name (Legal Business Name): GREGORY LOREN FINKAS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1254 MT ST HELENS WAY NE SUITE E
CASTLE ROCK WA
98611
US

IV. Provider business mailing address

1254 MT ST HELENS WAY NE SUITE E
CASTLE ROCK WA
98611
US

V. Phone/Fax

Practice location:
  • Phone: 360-274-7340
  • Fax: 360-274-7340
Mailing address:
  • Phone: 360-274-7340
  • Fax: 360-274-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00002263
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: