MIRANDA M BASS

PORTLAND, OR
NPI1699966945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  L7238)
Enumeration Date2007-08-01
Last Update Date2021-12-29
Business Address
MIRANDA M BASS LCSW
2701 NW VAUGHN ST
PORTLAND, OR 97210-5311
Phone number: 503-721-6800
Mailing Address
MIRANDA M BASS LCSW
5246 N EMERSON DR
PORTLAND, OR 97217-4112
Phone number: 503-913-0507
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