NPI 1043853948 · live from the CMS NPI Registry
Elise Noel Bascom, Ph.D.
Psychologist in Eugene, OR. National Provider Identifier 1043853948, active.
NPI record
| NPI | 1043853948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1551 Pearl St, Eugene, OR 97401 |
| Practice phone | 541-517-9733 |
| Enumerated | October 23, 2019 |
| Last updated | February 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 3154 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.