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General NPI Number Information
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NPI Number | 1639056369
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Entity Type | Individual
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Provider Name | JAMIE BASSETT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 5295 NE ELAM YOUNG PKWY STE 160
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City | HILLSBORO
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State | OR
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Zip | 97124-7573
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Country | US
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Telephone | 503-844-4325
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Fax | 503-400-7984
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Provider Business Mailing Address
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Address Line | 19920 SW CEDAR GROVE LN
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City | ALOHA
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State | OR
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Zip | 97003-2271
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 17042
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License Number State | OR
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