Provider Demographics
NPI:1417184359
Name:FINK, KATRIN H (LMT)
Entity Type:Individual
Prefix:MS
First Name:KATRIN
Middle Name:H
Last Name:FINK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29935 SW ROSE LN APT 68
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8710
Mailing Address - Country:US
Mailing Address - Phone:941-725-0978
Mailing Address - Fax:
Practice Address - Street 1:530 1ST ST
Practice Address - Street 2:B-1
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-3248
Practice Address - Country:US
Practice Address - Phone:941-725-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15299225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist