Individual
LARRY BASSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 BROADWAY ST NE STE 104, SALEM, OR 97301-1420
(503) 990-8772
(503) 990-8774
Mailing address
1300 BROADWAY ST NE STE 104, SALEM, OR 97301-1420
(503) 990-8772
(503) 990-8774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD06373
OR
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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