Raven Nicole Bassett

NPI #1720554629 in Pendleton, Oregon

Provider Information

NPI Number: 1720554629
Entity Type: Individual
Name: Raven Nicole Bassett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 331 SE 2ND ST
City: Pendleton
State: Oregon
ZIP Code: 97801-2224
Phone: (541) 276-6207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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