NPI 1386732923 · live from the CMS NPI Registry
Matthew G Basco, MD
Dermatology in Clackamas, OR. National Provider Identifier 1386732923, active.
NPI record
| NPI | 1386732923 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 |
| Practice phone | 503-571-8490 |
| Enumerated | October 10, 2006 |
| Last updated | February 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD25992 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.