Individual
STEVEN SAM BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, CRM
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305
(503) 363-2021
Mailing address
995 14TH ST SE, SALEM, OR 97302-1403
(541) 777-1191
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0084
OR
Other
Enumeration date
03/01/2016
Last updated
09/07/2018
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