PAUL B BASCOM MD LLC
Osteopathic Medicine at 4 St, Gold Beach, OR

License number
Oregon MD16983
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: PAUL B BASCOM M.D.
Title: OWNER
Phone: (503) 961-2017
Address
Address 2
94220 4Th St, Gold Beach, OR 97444
3439 NE Sandy Blvd #601, Portland, OR 97232
National Provider ID: 1710307046
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PAUL B BASCOM MD LLC at bizstanding.com

PAUL B. BASCOM MD, LLC

Portland, OR

Registration:
Apr 18, 2014
Addresses:
1327 NE 33 Ave, Portland, OR 97232 (Physical)
4411 NE Tillamook St, Portland, OR 97213 (Mailing)
State ID:
101369593
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Matthew Holland,4411 NE Tillamook St, Portland, OR 97213 (Physical)

Osteopathic Medicine licenses in Oregon









Other Doctors licenses in Oregon