Individual
MS. ANTONINA S BASARGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE, 120, SALEM, OR 97301-0198
(503) 390-5637
(503) 393-3135
Mailing address
2645 PORTLAND RD NE, 120, SALEM, OR 97301-0198
(503) 390-5637
(503) 393-3135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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