Healthcare Provider Details

I. General information

NPI: 1063374528
Provider Name (Legal Business Name): BRIANNA FINCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 160TH ST S STE 101
SPANAWAY WA
98387-8508
US

IV. Provider business mailing address

2298 YOUNG AVE # 1137
MEMPHIS TN
38104-5755
US

V. Phone/Fax

Practice location:
  • Phone: 253-881-9854
  • Fax: 253-409-2622
Mailing address:
  • Phone: 901-832-0583
  • Fax: 901-832-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWAI.SC.70000446
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: