NPI 1053097048
Benjamin Basire
Practice location
- Address
- 5415 SW Westgate Dr, Portland, OR 97221-2409
- Phone
- (503) 645-3581
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1053097048
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jun 2023
- Record last updated
- 23 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.