Whalio Doctors

NPI 1386732923

Matthew G Basco, MD

Practitioner Dermatology Physician Clackamas, OR

Practice location

Address
9800 SE Sunnyside Rd Mt Scott Medical Office, Clackamas, OR 97015-9750
Phone
(503) 571-8490

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD25992 (OR)

Registry record

NPI
1386732923
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2006
Record last updated
4 Feb 2022

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.