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Contact Information

SHANE J BASS
12901 SE 97TH AVE STE 180
CLACKAMAS, OR97015-7903
 Phone: 971-206-6337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for SHANE J BASS · (Male)

NPI Number 1942706106
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2018
Last updated 04/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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