TABITHA BASS

PORTLAND, OR
NPI1326422429
Former NameTABITHA RUTH LAVERY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- TABITHA BASS
17727 E BURNSIDE ST
PORTLAND, OR 97233-4803
Phone number: 503-215-9800
Mailing Address
-- TABITHA BASS
4531 SE BELMONT ST SUITE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-6556