Provider Demographics
NPI:1962606095
Name:FINN, SCOTT JEFFREY (RN)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JEFFREY
Last Name:FINN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 SW KING AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1410
Mailing Address - Country:US
Mailing Address - Phone:503-222-2640
Mailing Address - Fax:
Practice Address - Street 1:731 SW KING AVE APT 5
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-1410
Practice Address - Country:US
Practice Address - Phone:503-222-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine