Provider Demographics
NPI:1902271901
Name:FINLAYSON, REED LEON (MED)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:LEON
Last Name:FINLAYSON
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:SUTHERLIN
Mailing Address - State:OR
Mailing Address - Zip Code:97479-9025
Mailing Address - Country:US
Mailing Address - Phone:541-378-7283
Mailing Address - Fax:
Practice Address - Street 1:1052 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479-9025
Practice Address - Country:US
Practice Address - Phone:541-378-7283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1911101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional