Jacob Keith Bassen is a mental health counselor in Portland, OR. Jacob Keith Bassen NPI is 1790336220. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
811 NW 20TH AVE
PORTLAND, OR
ZIP 97209-443
Phone: (503) 807-3917
The enumeration date for this NPI number is 9/25/2019 and was last updated on 9/25/2019.