Provider Demographics
NPI:1518953876
Name:FINSTON, ALAN RENE (PT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:RENE
Last Name:FINSTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98231-0120
Mailing Address - Country:US
Mailing Address - Phone:360-332-8167
Mailing Address - Fax:360-332-0931
Practice Address - Street 1:250 G ST
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-4019
Practice Address - Country:US
Practice Address - Phone:360-332-8167
Practice Address - Fax:360-332-0931
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
WAPT000059892251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB19949Medicare ID - Type UnspecifiedGROUP MEDICARE #
VAGAB19950Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #