Larry Bassinger M.D.

NPI 1710373444 - Family Medicine - 207Q00000X

NPI Details
NPI 1710373444
Gender Male
Enumeration Date 04/09/2015
Last Updated 04/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1300 BROADWAY ST NE STE 104
SALEM OR, 97301-1420, US
Phone (503) 990-8772
Fax (503) 990-8774
Business Location
1300 BROADWAY ST NE STE 104
SALEM OR, 97301-1420, US
Phone (503) 990-8772
Fax (503) 990-8774
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD06373
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According to our database, Larry Bassinger M.D. NPI is 1710373444, taxonomy code is 207Q00000X and license number is MD06373, license state is located at Oregon. Larry Bassinger M.D. physically located at 1300 Broadway St Ne Ste 104, Salem OR, 97301-1420. NPI Number Larry Bassinger M.D. has the Individual type.

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1710373444 NPI number is provided on an as is basis without warranty of any kind. 1710373444 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Bassinger M.D. are for informational purposes only.