Organization
KATHLEEN S FINLEY
Active
Other names
Shady Cove Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN FINLEY (ADMINISTRATOR)
(541) 830-0333
Entity
Organization
Contact information
Practice address
21990 HWY 62, SHADY COVE, OR 97539-9717
(541) 878-2022
(541) 878-1498
Mailing address
PO BOX 428, SHADY COVE, OR 97539-0428
(541) 878-2022
(541) 878-1498
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123633
—
OR
Enumeration date
11/30/2005
Last updated
01/30/2013
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