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NPI Code Detail

MEDICARE: MS. VICTORIA M. BASSINGTHWAITE PA-C

MEDICARE: MS. VICTORIA M. BASSINGTHWAITE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA000927OR

General Provider Information

NPI Number : 1851335574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA M. BASSINGTHWAITE PA-C
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 199 W HIGHWAY 20
Second Line :
City : TOLEDO
State : OR
Zip : 97391-1242
Country : US
Telephone Number : 541-574-2730
Fax Number : 541-336-7614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/18/2021

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Directions to “ MS. VICTORIA M. BASSINGTHWAITE PA-C” Practice Location

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