Individual
DR. RHONDA MARIE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272-1431
(360) 794-7994
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60591859
WA
207Q00000X
Family Medicine Physician
ME 083109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264027900
—
FL
Enumeration date
06/24/2005
Last updated
03/01/2021
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