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Individual

DR. JAMES SCOTT BASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
731 N STANLEY ST, MEDICAL LAKE, WA 99022-8940
(509) 299-6900
Mailing address
5760 FORT WRIGHT OVAL, FAIRCHILD AFB, WA 99011-2203
(210) 488-4424

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61121148
WA

Other

Enumeration date
03/19/2021
Last updated
03/19/2021
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