Elise Bascom's National Provider Identifier (NPI) Details
Elise Bascom, Ph.D.
NPI: 1043853948
Enumeration Date: 2019-10-23
Last updated: 2023-02-15
Sole Proprietor: NO
Status: active
Postal Address: 1551 PEARL ST, EUGENE, OR
Phone: 541-517-9733
Primary Practice Address: 1551 PEARL ST, EUGENE, OR
Practice's phone: 541-517-9733