Individual
KATELYNN SARAH BASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4481
Mailing address
PO BOX 920138, DALLAS, TX 75392-0138
(541) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO219181
OR
207P00000X
Emergency Medicine Physician
LL83611
SC
Other
Enumeration date
05/15/2021
Last updated
09/25/2024
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