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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REDA TAWFIK BASSALY, PA-C

Active

Medical Physician Assistant · LEBANON, OR

Registration Details

NPI Number
1043551930
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2013 (13.136582925293 yrs)
Last Updated
Oct 6, 2025
Licenses
PA163414 (OR)
PA163414 (OR)

Practice Information

Address
325 PARK ST
LEBANON, OR, 973554229
Browse OR providers · Browse ZIP 97355
Phone
5414517200
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LEBANON, OR

Name Credential NPI
MRS. MARY KATHLEEN LANE PA-C 1083738595
MS. JINNY A FARRAR PA-C 1003068933
JOSHUA CHRISTOPHER SCHIRRIPA PA-C 1326679366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.