Bassaly, Reda Tawfik

Bassaly, Reda Tawfik is an individual health care provider with primary practice located at 675 N 5Th St Ste 200 , Lebanon OR 97355-2875. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bassaly, Reda Tawfik can be contacted via phone (541) 451-6282.

Contact Information

Primary practice address
675 N 5Th St Ste 200 Lebanon OR 97355-2875
Phone: (541) 451-6282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA163414 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA163414 Oregon

Profile Details

NPI number 1043551930
LBN Legal business name Bassaly, Reda Tawfik
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2013
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043551930 NPPES
Washington MEDICAID 2035614
Washington MEDICAID 500657182

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