Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reda Tawfik Bassaly, PA-C

Individual provider Physician Assistant · NPI 1043551930

Reda Tawfik Bassaly, PA-C is a Physician Assistant in Lebanon, Oregon. Qualified in 2013, 13 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

325 Park St
Lebanon, OR 97355-4229
Phone: (541) 451-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA163414 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA163414 (OR)

Record details

NPI number1043551930
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2013
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lebanon