Provider Demographics
NPI:1659553659
Name:ROGER D. FINCHER, M.D., P.S.
Entity Type:Organization
Organization Name:ROGER D. FINCHER, M.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-747-7900
Mailing Address - Street 1:801 W. 5TH AVENUE
Mailing Address - Street 2:SUITE 525
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2842
Mailing Address - Country:US
Mailing Address - Phone:509-747-7900
Mailing Address - Fax:509-624-3666
Practice Address - Street 1:801 W. 5TH AVENUE
Practice Address - Street 2:SUITE 525
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2842
Practice Address - Country:US
Practice Address - Phone:509-747-7900
Practice Address - Fax:509-624-3666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019098261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1789304Medicaid
WAA07181Medicare UPIN
WAAB27295Medicare PIN