IndividualActive
Reda Bassaly, PA-C
NPI 1043551930 · Medical Physician Assistant · Lebanon, OR
Provider details
- NPI number
- 1043551930
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA163414 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
325 Park St
Lebanon, OR 97355-4229
Phone: (541) 451-7200
Street-level locationGet directions
Mailing address
Po Box 1189
Corvallis, OR 97339-1189
Additional practice locations (2)
- 9800 Se Sunnyside RdClackamas, OR 97015-9750Phone: (503) 813-2000
- 675 N 5th St Ste 200Lebanon, OR 97355-2875Phone: (541) 451-6282
Registry dates
- Enumerated
- 2013-03-03
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.