Basic Information
| Provider Information | |||||||||
| NPI: | 1801892419 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINK | ||||||||
| FirstName: | MARSHA | ||||||||
| MiddleName: | GAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 650 COLUMBIA ST UNIT 407 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921016739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146557931 | ||||||||
| FaxNumber: | 6196915977 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 S SHERMAN ST | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992021311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5092281000 | ||||||||
| FaxNumber: | 5092529300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2005 | ||||||||
| LastUpdateDate: | 07/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A54315 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | A54315 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | TD61189091 | WA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | GS671Y | 01 | CA | PTAN | OTHER |