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Contact Information

RANDY L SASICH, MD
9155 SW BARNES RD
SUITE 840
PORTLAND, OR97225-6625
 Phone: 503-297-3778
 Fax: 503-297-7853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RANDY L SASICH · (Male)

NPI Number 1245337260
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 01/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD28977
  • OR Medicaid 500666674
  • WA Medicaid 2056427
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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