Individual
HILLARY JAYNE BASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5751
(503) 418-1377
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5751
(503) 418-1377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35121374
OH
208000000X
Pediatrics Physician
MD222363
OR
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35121374
OH
2080P0206X
Pediatric Gastroenterology Physician
83735
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD222363
OR
Other
Enumeration date
03/24/2011
Last updated
10/24/2024
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