Basom, Barbara Jane

Basom, Barbara Jane is an individual health care provider with primary practice located at 271 Columbia Blvd , Saint Helens OR 97051-2021. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Basom, Barbara Jane can be contacted via phone (503) 397-0391.

Contact Information

Primary practice address
271 Columbia Blvd Saint Helens OR 97051-2021
Phone: (503) 397-0391
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Nursing Service Providers / Registered Nurse 163W00000X 201041945RN Oregon

Profile Details

NPI number 1497092852
LBN Legal business name Basom, Barbara Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Apr 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497092852 NPPES
Oregon MEDICAID 123190

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