Individual
BARBARA JANE BASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
271 COLUMBIA BLVD, SAINT HELENS, OR 97051-2021
(503) 397-0391
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
163W00000X
Registered Nurse
201041945RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
01/04/2013
Last updated
04/04/2016
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