Antonina S Basargin

NPI 1780024927 - Counselor - 101Y00000X

NPI Details
NPI 1780024927
Gender Female
Enumeration Date 07/02/2013
Last Updated 07/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2645 PORTLAND RD NE
120
SALEM OR, 97301-0198, US
Phone (503) 390-5637
Fax (503) 393-3135
Business Location
2645 PORTLAND RD NE
120
SALEM OR, 97301-0198, US
Phone (503) 390-5637
Fax (503) 393-3135
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Ms. Antonina S Basargin NPI is 1780024927, taxonomy code is 101Y00000X Antonina S Basargin physically located at 2645 Portland Rd Ne, Salem OR, 97301-0198. NPI Number Antonina S Basargin has the Individual type.

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1780024927 NPI number is provided on an as is basis without warranty of any kind. 1780024927 is maintained by the National Plan & Provider Enumeration System. The contents of Antonina S Basargin are for informational purposes only.