Individual
MR. JONATHAN BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Mailing address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0005952
CO
225X00000X
Occupational Therapist
Primary
415849
OR
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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