Provider Demographics
NPI:1366688319
Name:FINLEY, JENNIFER LEIGH (LAC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:FINLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:FINLEY-MCCORMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:345 NW RIVERSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701
Mailing Address - Country:US
Mailing Address - Phone:202-765-9067
Mailing Address - Fax:
Practice Address - Street 1:999 SW DISK DR STE 105
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3060
Practice Address - Country:US
Practice Address - Phone:541-639-8911
Practice Address - Fax:541-633-7962
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist