Provider Demographics
NPI:1598884033
Name:FINCH, CLYDE MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLYDE
Middle Name:MITCHELL
Last Name:FINCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:C MITCHELL
Other - Middle Name:
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:503-215-6494
Mailing Address - Fax:503-215-6644
Practice Address - Street 1:10330 SE 32ND AVE STE 226
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-6699
Practice Address - Country:US
Practice Address - Phone:503-215-8020
Practice Address - Fax:513-215-8025
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1528352084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500625553Medicaid
PA821639OtherFIRST PRIORITY HEALTH
PA2782960OtherUNITEDHEALTHCARE
PA50071592OtherKEYSTONEHEALTHPLANCENTRAL
PA109317OtherGEISINGER HEALTH PLAN
PA645285OtherHEALTHAMERICA
OR500625553Medicaid
PA1958847OtherHIGHMARK BLUE SHIELD
PA1019026100001Medicaid
PA1958847OtherHIGHMARK BLUE SHIELD
PA2782960OtherUNITEDHEALTHCARE
PA1019026100001Medicaid