Individual provider · Type 1 NPI

Reda Tawfik Bassaly, PA-C

Medical Physician Assistant · Lebanon, OR

NPI number 1043551930 Active

Practice location

325 Park St
Lebanon, OR 97355-4229

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 9800 SE Sunnyside Rd, Clackamas, OR 97015-9750 · (503) 813-2000
  • 675 N 5th St Ste 200, Lebanon, OR 97355-2875 · (541) 451-6282

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA163414 (OR)
Medical Physician Assistant Primary 363AM0700XPA163414 (OR)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Lebanon

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About NPI 1043551930

Reda Tawfik Bassaly, PA-C's National Provider Identifier is 1043551930, issued on Mar 3, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, OR. The record was last updated on Oct 6, 2025.