Bassett, Mikelle
Bassett, Mikelle is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Bassett, Mikelle can be contacted via phone (503) 418-5751.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239
Phone: (503) 418-5751
Fax: (503) 494-4953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD157155 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD157155 | Oregon |
Profile Details
| NPI number | 1942212170 |
|---|---|
| LBN Legal business name | Bassett, Mikelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Aug 10th, 2018 - about 7 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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