Active NPI
Elizabeth Anne Finken, D.O.
- Family Medicine Physician
- Camas, WA
National Provider Identifier
1790219509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61061916
- Practice address
- 4500 SE Columbia Palisades Dr
Camas, WA 98607-8444 - Phone
- (360) 882-2778
- Fax
- (360) 604-1731
- NPI assigned
- Apr 18, 2017
- Last updated
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OP61061916 | WA | Primary |
Addresses
Primary practice location
4500 SE Columbia Palisades Dr
Camas, WA 98607-8444
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-4896
Phone (360) 882-2778
Other practice location 1
1400 E Church St Bldg 8
Santa Maria, CA 93454-5906
Phone (805) 739-3561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167874 | Medicaid | WA |
Other names 1
- Elizabeth Anne Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 SE Columbia Palisades Dr
Camas, WA 98607-8444
Phone (360) 882-2778
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61061916 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Family Medicine | Current | Accepting new patients |
Locations
4500 SE Columbia Palisades Dr
Camas, WA 98607
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- efinken17147@tvc-direct.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
Family Medicine
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1790219509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644896",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SE COLUMBIA PALISADES DR",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078444",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1731"
}
],
"practiceLocations": [
{
"address_1": "1400 E Church St Bldg 8",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545906",
"country_code": "US",
"telephone_number": "805-739-3561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINKEN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61061916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167874",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MONTGOMERY",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.