- Practice location
- 1551 Pearl St, Eugene, OR 97401-4010
- Phone
- 541-517-9733
- Fax
- —
- Last updated
- February 15, 2023
Elise N Bascom, PHD is a Psychologist based in Eugene, OR. Elise N Bascom, PHD holds the professional credentials of PHD. The NPI number for Elise N Bascom, PHD is 1043853948 and holds license No. 3154 (OR). The current practice location address is 1551 Pearl St, Eugene, OR 97401-4010 and the office can be reached by phone at 541-517-9733. The NPI was assigned on October 23, 2019 and the record was last updated in NPPES on February 15, 2023.
●Provider Profile Details
- NPI Number
- 1043853948
- Provider Name
- Elise Noel Bascom
- Credential
- PHD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Enumeration Date
- October 23, 2019
- Last Update Date
- February 15, 2023
- Certification Date
- February 15, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1551 Pearl St
Eugene, OR 97401-4010 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-4010
- Country
- US
- Phone Number
- 541-517-9733
✉Business Mailing Address
- Address
- 1551 Pearl St
Eugene, OR 97401-4010 - City
- Eugene
- State
- OR
- ZIP
- 97401-4010
- Phone Number
- 541-517-9733
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes | 3154 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?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) and holds license No. 3154 (OR).
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 at npiregistry.cms.hhs.gov.