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

Individual provider Physician Assistant · NPI 1215041934

Patrick S Basco, PA is a Physician Assistant in Springfield, Oregon. Qualified in 2004, 22 years ago. Practices with Peacehealth, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
22
Licensed in
FL, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3311 Riverbend Dr Fl 3
Springfield, OR 97477-8800
Phone: (541) 484-4332
Fax: (541) 242-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 S Tamiami Trl, Sarasota, FL 34239-2940 — (941) 917-0060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA195563 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 5746 (FL)

Record details

NPI number1215041934
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Peacehealth — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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