- Practice location
- 1551 Pearl St, Eugene, OR 97401-4010
- Phone
- 541-517-9733
- Fax
- —
- Last updated
- February 15, 2023
Elise Noel Bascom is a Psychologist based in Eugene, OR. Elise Noel Bascom practices in Eugene, OR and has the professional credentials of PHD. The NPI Number for Elise Noel Bascom is 1043853948 and holds a License No. 3154 (OR). The current practice location address for Elise Noel Bascom is 1551 Pearl St, Eugene, OR 97401-4010 and can be reached out via phone at 541-517-9733.
Provider Profile Details
- NPI Number
- 1043853948
- Provider Name
- Elise Noel Bascom
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1551 Pearl St, Eugene, OR 97401-4010
- Phone Number
- 541-517-9733
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2019
- Last Update Date
- February 15, 2023
- Certification Date
- February 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1551 Pearl St
Eugene, OR 97401-4010 - City
- Eugene
- State
- Oregon
- Zip
- 97401-4010
- Phone Number
- 541-517-9733
Provider Business Mailing Address Details
- Address
- 1551 Pearl St
Eugene, OR 97401-4010 - City
- Eugene
- State
- OR
- Zip
- 97401-4010
- Phone Number
- 541-517-9733
License Information
- License Number
- 3154
- License State
- OR
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Elise N Bascom, PHD?
The NPI number of Elise N Bascom, PHD is 1043853948. It was assigned on October 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Elise N Bascom, PHD?
Elise N Bascom, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in OR under license number 3154.
Where does Elise N Bascom, PHD practice?
The practice location is 1551 Pearl St, Eugene, OR 97401-4010. The office can be reached at 541-517-9733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043853948 directly on the NPPES registry website.