Patrick S Basco, P.A.
Physician Assistant in Springfield, OR. Individual provider (NPI-1).
NPI number1215041934
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1215041934
- Entity type
- Individual (NPI-1)
- Name
- Patrick S Basco
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA195563 | OR | Yes |
| 363A00000X | Physician Assistant | 5746 | FL |
Practice location
3311 Riverbend Dr Fl 3Springfield, OR 97477-8800
Phone 541-484-4332 · Fax 541-242-6770
Mailing address
1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004
Phone 360-729-1253 · Fax 360-729-3185
Other practice locations
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