Healthcare Provider Details

I. General information

NPI: 1053238576
Provider Name (Legal Business Name): BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14835 STAGECOACH
SISTERS OR
97759-9566
US

IV. Provider business mailing address

14835 STAGECOACH
SISTERS OR
97759-9566
US

V. Phone/Fax

Practice location:
  • Phone: 541-241-6943
  • Fax: 541-838-6404
Mailing address:
  • Phone: 541-241-6943
  • Fax: 541-838-6404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA MARTENS
Title or Position: OWNER, CLINICAL DIRECTOR
Credential: MS, LBA, BCBA
Phone: 541-241-6943