MEDICARE: MRS. ELIZABETH MARIE FINLEY MSPT

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	225100000X	Physical Therapist	2205	OR

General Provider Information

NPI Number	:	1942571658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH MARIE FINLEY MSPT

Provider Business Mailing Address
First Line	:	18906 KRISTI WAY
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-7920
Country	:	US
Telephone Number	:	503-620-5496
Fax Number	:

Provider Business Practice Location Address
First Line	:	18906 KRISTI WAY
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-7920
Country	:	US
Telephone Number	:	503-620-5496
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

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