Individual
LINDA M BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 7TH AVE SW, ALBANY, OR 97321-2321
(541) 990-4958
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 205-0188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/29/2022
Last updated
07/21/2022
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