Most Relevant Information
Provider Data
| NPI Number: | 1003245143 |
| Provider Name: | JERRY BASS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 006606 |
Most Important Dates
| Enumeration Date: | 11/08/2013 |
| Last Updated: | 11/08/2013 |
Provider Practice Location
5745 NW HOMESTEAD WAY
REDMOND
OR
977567929
Practice Location Phone/Fax
| Phone: | 5414196388 |
| Fax: |
Provider Mailing Location
5745 NW HOMESTEAD WAY
REDMOND
OR
977567929
Provider Mailing Phone/Fax
| Phone: | 5414196388 |
| Fax: |