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REDA TAWFIK BASSALY PA-C

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1043551930
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
325 PARK ST, LEBANON, OR, 973554229
Phone
(541) 451-7200

Specialties & Taxonomies

Physician Assistant License: OR #PA163414
Physician Assistant, Medical Primary License: OR #PA163414

All Addresses

MAILING

PO BOX 1189

CORVALLIS, OR, 973391189

LOCATION

325 PARK ST

LEBANON, OR, 973554229

(541) 451-7200