Elizabeth Alice Bassett, LPC
Individual provider Active NPI Professional Counselor · Portland, OR
NPI 1033349196 · NPPES record last updated Feb 24, 2014
Key facts
- NPI
- 1033349196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C2527 (OR)
- Practice address
- 4004 SE Woodstock Blvd
Suite 3
Portland, OR 97202-7662 - Phone
- (503) 777-0444
- Fax
- (503) 777-0445
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2527 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2527 | OR | Yes |
Addresses
Primary practice location
4004 SE Woodstock Blvd
Suite 3
Portland, OR 97202-7662
Mailing address
4004 SE Woodstock Blvd
Suite 3
Portland, OR 97202-7662
Phone (503) 777-0444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2527 | Other | OR | LICENSE NUMBER |
Other providers in Portland, OR
- Olivia Jeanne Bass
- Tabitha Bass
- Jacob Keith Bassen
- Bridget Bassett
- Debra Bassett
- Jeanine Bassett
- Mikelle Bassett
- Sabrina Lea Bassett
- Lisa Michelle Bassili
- Tony Bassili
All providers in Portland, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.