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General NPI Number Information
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NPI Number | 1598884033
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Entity Type | Individual
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Provider Name | CLYDE MITCHELL FINCH MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 10330 SE 32ND AVE STE 226
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City | MILWAUKIE
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State | OR
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Zip | 97222-6699
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Country | US
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Telephone | 503-215-8020
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Fax | 513-215-8025
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Provider Business Mailing Address
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Address Line | PO BOX 3158
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City | PORTLAND
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State | OR
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Zip | 97208-3158
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Country | US
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Telephone | 503-215-6494
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Fax | 503-215-6644
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD152835
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License Number State | OR
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