Laura Bastida

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2645 Portland Rd NE
Ste 120
Salem, OR 97301-0198

Phone

(503) 390-5637

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1497029623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8049",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030230",
            "telephone_number": "503-559-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 PORTLAND RD NE",
            "address_2": "STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010198",
            "telephone_number": "503-390-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDA",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard De Quiroz Basilan, MD
• Laura Basra, EFDA
• Steven Sam Bass, PSS, CRM
• Sandra G. Bassett, MN, PMHNP
• Larry Bassinger, M.D.
• Brad Lamont Bateman, DMD
• Lora H. Bateman
• William D Bateman, DMD
• Erik G Bates, PA
• Tammy Renee Bates, RN

• All providers in Salem, OR
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.