MEDICARE: LAURA J FINNEGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		OR

General Provider Information

NPI Number	:	1427763093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA J FINNEGAN

Provider Business Mailing Address
First Line	:	4854 A ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97478-6030
Country	:	US
Telephone Number	:	541-359-8258
Fax Number	:

Provider Business Practice Location Address
First Line	:	4854 A ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97478-6030
Country	:	US
Telephone Number	:	541-359-8258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	01/18/2023

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Directions to “ LAURA J FINNEGAN ” Practice Location

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