Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul B Bascom MD LLC

Organization Internal Medicine Physician · NPI 1710307046

Paul B Bascom MD LLC is an Internal Medicine Physician in Gold Beach, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

94220 4th St
Gold Beach, OR 97444-7756
Phone: (503) 961-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD16983 (OR)

Record details

NPI number1710307046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bascom — Owner · (503) 961-2017
NPI enumeratedApril 25, 2014
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address2660 Crimson Canyon Dr Ste 130, Las Vegas, NV 89128-0846

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