Individual
MS. VICTORIA M. BASSINGTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
199 W HIGHWAY 20, TOLEDO, OR 97391-1242
(541) 574-2730
(541) 336-7614
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA000927
OR
Other
Enumeration date
06/15/2006
Last updated
02/18/2021
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