Provider Demographics
NPI:1710078571
Name:FINSETH, ROBYN (MS, DC)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:
Last Name:FINSETH
Suffix:
Gender:F
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 SW 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2081
Mailing Address - Country:US
Mailing Address - Phone:503-297-3540
Mailing Address - Fax:503-297-3288
Practice Address - Street 1:4850 SW SCHOLLS FERRY RD
Practice Address - Street 2:STE. 205
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-1669
Practice Address - Country:US
Practice Address - Phone:503-252-8301
Practice Address - Fax:503-252-0189
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR65 1607111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000QGCJWOtherMEDICARE PART B, OREGON