Dr. CHANDRA MARIE BASHAM -- M.D.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1316150022- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 10535 NE GLISAN ST, PORTLAND, OR, 972204077
- Phone
- (503) 273-5142
Specialties & Taxonomies
Family Medicine
Primary License: OR #MD 27394
Student in an Organized Health Care Education/Training Program
License: OR #MD27394
Student in an Organized Health Care Education/Training Program
License: CA #A97048