Healthcare Provider Details

I. General information

NPI: 1154902344
Provider Name (Legal Business Name): ANNE FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 3RD ST SE
PUYALLUP WA
98374-1109
US

IV. Provider business mailing address

15 OREGON AVE STE 308
TACOMA WA
98409-7462
US

V. Phone/Fax

Practice location:
  • Phone: 253-200-0415
  • Fax:
Mailing address:
  • Phone: 253-304-7753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: