Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00017699 | WA |
N | 207PE0004X | Emergency Medical Services | MD00017699 | WA |
NPI | 1194770685 |
---|---|
Provider Name | Samuel Finn |
First Address | Seattle, WA 98112-3510 |
Second Address | Everett, WA 98201-1665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 28/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1736107 | (05) | WA |
S05302 | (02) | WA |