Provider Demographics
NPI:1891925111
Name:FINN, KATHERINE WHITAKER (DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:WHITAKER
Last Name:FINN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12849 NW CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-5813
Mailing Address - Country:US
Mailing Address - Phone:503-208-6278
Mailing Address - Fax:503-208-6276
Practice Address - Street 1:12849 NW CORNELL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-5813
Practice Address - Country:US
Practice Address - Phone:503-208-6278
Practice Address - Fax:503-208-6276
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR148589Medicare PIN