Individual
DR. JAMES DANIEL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208-6642
(425) 316-5150
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL ME 078086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274369800
—
FL
05
—
818982645A
—
GA
01
—
P0034010
RAILROAD MEDICARE
—
Enumeration date
06/24/2005
Last updated
04/16/2021
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