Provider Demographics
NPI:1700815909
Name:LOCC PATRICIA FINLEY PHD LLC
Entity Type:Organization
Organization Name:LOCC PATRICIA FINLEY PHD LLC
Other - Org Name:LAKE OSWEGO COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERDIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-675-2830
Mailing Address - Street 1:15110 BOONES FERRY RD
Mailing Address - Street 2:220
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3468
Mailing Address - Country:US
Mailing Address - Phone:503-675-2830
Mailing Address - Fax:503-675-2852
Practice Address - Street 1:15110 BOONES FERRY RD
Practice Address - Street 2:220
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3468
Practice Address - Country:US
Practice Address - Phone:503-675-2830
Practice Address - Fax:503-675-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR134990Medicare ID - Type UnspecifiedGROUP WITH MEDICARE PART