Individual provider · NPI-1

Dr. Rhonda Marie Bass, M. D.

Family Medicine · Monroe, WA

NPI number1023014925
StatusActive
Last updated in NPPESMar 1, 2021

Details

NPI
1023014925
Entity type
Individual (NPI-1)
Name
Dr. Rhonda Marie Bass
Credential
M. D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2005
Certification date
Mar 1, 2021
Last updated
Mar 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD60591859WAYes
207Q00000X Family MedicineME 083109FL

Practice location

19200 N Kelsey St
Monroe, WA 98272-1431

Phone 360-794-7994

Mailing address

Po Box 3360
Portland, OR 97208-3360

Phone 866-747-2455

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