Individual
ELIZABETH BASSINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11970 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 624-8304
(503) 670-0520
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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