Kathleen S Finley

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

KATHLEEN S FINLEY

Doing business as

Shady Cove Clinic

Practice address

21990 Hwy 62
Shady Cove, OR 97539-9717

Phone

(541) 878-2022

Fax

(541) 878-1498

NPI assigned

Nov 30, 2005

Last updated

Jan 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glen Finley

Title

Administrator

Phone

(541) 830-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shady Cove Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet G. Eggers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseburg, OR
  • NPI 1801978382
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1609850940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975390428",
            "telephone_number": "541-878-2022",
            "fax_number": "541-878-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21990 HWY 62",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975399717",
            "telephone_number": "541-878-2022",
            "fax_number": "541-878-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN S FINLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-830-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123633",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shady Cove Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Eilertson, D.C.
• Taylor Austin Ellson, DMD
• Kathleen Finley
• Kristen Ranae Gerhardt
• Rhonda Grayson
• Kelly Clayton FNP Inc (Health Care By House Call)
• Dan Dale Kelly
• Phillip Bruce Lassen, D.M.D.
• Laura L. Johnson, N.P., P.C. (Crater Lake Medical South)
• Mending Waters Counseling LLC

• Rural Health Clinic/Center in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.