DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHANDRA MARIE BASHAM, M.D.

Active Sole Proprietor

DR. CHANDRA MARIE BASHAM, M.D. is a Family Medicine healthcare provider located in PORTLAND, Oregon. NPI 1316150022 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTLAND, OR

Registration Details

NPI Number
1316150022
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2007 (19.272371277102 yrs)
Last Updated
Aug 8, 2013
Licenses
MD 27394 (OR)
MD27394 (OR)
A97048 (CA)
Sole Proprietor
Yes

Practice Information

Address
10535 NE GLISAN ST
PORTLAND, OR, 972204077
Browse OR providers · Browse ZIP 97220
Phone
5032735142
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PORTLAND, OR

Name Credential NPI
MELANIE J SMYTHE DO 1043214471
DR. BRYAN DEAN WALLS D.O. 1710982129
KAREN R COOPER D.O. 1487646238
MS. SHAUNA L ENSMINGER MD 1619960002
MARINA MEZEY MD 1346234606
JOHN TAKACS DO 1215921374
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.