Anthony Christopher Bass, LPN
Individual provider Active NPI Licensed Practical Nurse · Pendleton, OR
NPI 1114682085 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1114682085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 201602584LPN (OR)
- Practice address
- 707 SW 37TH St
Pendleton, OR 97801-3605 - Phone
- (541) 276-3374
- Fax
- (541) 276-5326
- NPI assigned
- Nov 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 201602584LPN | OR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201602584LPN | OR | Yes |
Addresses
Primary practice location
707 SW 37TH St
Pendleton, OR 97801-3605
Mailing address
707 SW 37TH St
Pendleton, OR 97801-3605
Phone (541) 276-3374
Other providers in Pendleton, OR
- Channon M Baker
- Jordan Nicole Baker
- Michelle Lane Roca Baltzor
- Merika Barhyte
- Brian Barnes
- Reagan Keri Bass
- Raven Nicole Bassett
- Marissa Marie Baumgartner
- James G Beardsley
- Stacey Beaver
All providers in Pendleton, OR · Licensed Practical Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. 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.