Individual
MS. SHANA MARLENE BASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
735 SW 158TH AVE, STE 160, BEAVERTON, OR 97006-4952
(503) 597-0035
(503) 296-2985
Mailing address
735 SW 158TH AVE, STE 160, BEAVERTON, OR 97006-4952
(503) 597-0035
(503) 296-2985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5283
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00393828
RAILROAD MEDICARE
OR
Enumeration date
10/19/2006
Last updated
07/15/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us