Provider Demographics
NPI:1336512938
Name:FINLAYSON, SCOTT WARREN
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:WARREN
Last Name:FINLAYSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 14TH STREET CT NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-3804
Mailing Address - Country:US
Mailing Address - Phone:253-202-3145
Mailing Address - Fax:
Practice Address - Street 1:13712 NE 20TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2698
Practice Address - Country:US
Practice Address - Phone:136-057-4594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program