Provider Demographics
NPI:1295447134
Name:JENNIFER FINLEY L.AC.
Entity type:Organization
Organization Name:JENNIFER FINLEY L.AC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-639-2574
Mailing Address - Street 1:345 NW RIVERSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2577
Mailing Address - Country:US
Mailing Address - Phone:541-639-2574
Mailing Address - Fax:
Practice Address - Street 1:598 NW HILL ST STE B
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2970
Practice Address - Country:US
Practice Address - Phone:541-639-5389
Practice Address - Fax:855-300-5358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500790830Medicaid