Provider Demographics
NPI:1639325723
Name:TERRANCE ALLEN FINSTAD
Entity Type:Organization
Organization Name:TERRANCE ALLEN FINSTAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:FINSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-387-6328
Mailing Address - Street 1:PO BOX 35145 LB 1154
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-5145
Mailing Address - Country:US
Mailing Address - Phone:541-387-6328
Mailing Address - Fax:541-387-6410
Practice Address - Street 1:PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL
Practice Address - Street 2:811 13TH STREET
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-7768
Practice Address - Country:US
Practice Address - Phone:541-387-6328
Practice Address - Fax:541-387-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty