MIKELLE BASSETT

PORTLAND, OR
NPI1942212170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: OR  MD157155)
Additional Taxonomies208000000X Pediatrics
(Licence: OR  MD157155)
Enumeration Date2006-08-13
Last Update Date2018-08-10
Business Address
MIKELLE BASSETT MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-418-5751
Mailing Address
MIKELLE BASSETT MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5751