Idaho
Division of Occupational and Professional Licenses
Dr. AMAYA MARIE BASTA
Board Of Medicine
License number
M-13201
Date granted
02/29/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
OREGON HEALTH AND SCIENCE UNIVERSITY PORTLAND OR 97239
idaholicensing.com
ID 48337622
LAST UPDATED 2024-03-09 08:28:22 UTC
LAST UPDATED 2024-03-09 08:28:22 UTC
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