DR. ROBERT BRADLEY BASHAM PH.D.
NPI 1043239320
Psychologist - Clinical in Portland, OR

Q: What is Robert Basham's NPI number?

The NPI number for Robert Basham is 1043239320. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Robert Basham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Robert Basham was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2006

1312 SW 16TH AVENUE, SUITE 102, PORTLAND, OR 97201(503) 242-2533(503) 220-8860 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Robert Bradley Basham Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT BRADLEY BASHAM PH.D. (NPI 1043239320) is an individual clinical provider in Portland, Oregon, licensed in Oregon (677) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043239320

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROBERT BRADLEY BASHAMCredential: PH.D.

Location Address1312 SW 16TH AVENUE, SUITE 102Portland, OR 97201-2620

Mailing Address1312 Sw 16th Avenue, Suite 102Portland, OR 97201-2620 · (503) 242-2533 · Fax (503) 220-8860

Phone(503) 242-2533

Fax(503) 220-8860

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateAugust 17, 2009

✔ NPI 1043239320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 677

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1312 SW 16TH AVENUE, Portland, OR 97201

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Other Identifiers 1

Medicaid172718OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Basham's NPI number?

The NPI number for Robert Basham is 1043239320. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Robert Basham located?

Robert Basham practices at 1312 SW 16th Avenue Suite 102, Portland, OR 97201. The listed phone number is (503) 242-2533.

What is Robert Basham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Robert Basham was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.