Provider Demographics
NPI:1457973752
Name:FINCH, TAMARA M (DC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:M
Last Name:FINCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SUTTON SQ SW UNIT 404
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3483
Mailing Address - Country:US
Mailing Address - Phone:337-230-0933
Mailing Address - Fax:
Practice Address - Street 1:1400 14TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4552
Practice Address - Country:US
Practice Address - Phone:337-230-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557806111N00000X
DCCH21000006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor