Individual
MS. SANDRA G. BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, PMHNP
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 362-1999
(503) 362-9671
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 362-1999
(503) 362-9671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750102NP
OR
Other
Enumeration date
08/31/2007
Last updated
09/17/2013
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