Robert Basham, PH.D

NPI 1043239320 · on the registry since 2006

Practice

Address: 1312 Sw 16th Avenue
Suite 102
Portland, OR 97201
Phone: (503) 242-2533
Fax: (503) 220-8860
Organisation at this address: Patrick Petrie Psychotherapy, Llc
Fifth Avenue Counseling & Consulting
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon