Individual
MATTHEW G BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, MT SCOTT MEDICAL OFFICE, CLACKAMAS, OR 97015-9750
(503) 571-8490
Mailing address
9800 SE SUNNYSIDE RD, MT SCOTT MEDICAL OFFICE, CLACKAMAS, OR 97015-9750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD25992
OR
Other
Enumeration date
10/10/2006
Last updated
02/04/2022
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