Provider Demographics
NPI:1346444312
Name:FINKE, ROBERT GERALD (CDC II, NCAC I)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GERALD
Last Name:FINKE
Suffix:
Gender:M
Credentials:CDC II, NCAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 MOCKINGBIRD DR APT 106
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1686
Mailing Address - Country:US
Mailing Address - Phone:907-315-7046
Mailing Address - Fax:
Practice Address - Street 1:121 W FIREWEED LN STE 105
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2044
Practice Address - Country:US
Practice Address - Phone:907-865-9653
Practice Address - Fax:907-865-9124
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKCERTIFICATE 2261101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDA4437Medicaid