Search › Oregon › 207Q00000X
Chandra Basham, M.D
NPI 1316150022 · on the registry since 2007 · sole proprietor
Practice
- Address
- 10535 Ne Glisan St
Portland, OR 97220 - Phone
- (503) 273-5142
- Organisation at this address
- Dqcgm Of Oregon Llc
Gateway Dental Surgery CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
390200000X - Licence states on file
- OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-08
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