Individual
DR. RANDY LOUIS SASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9155 SW BARNES RD, SUITE 840, PORTLAND, OR 97225-6625
(503) 297-3778
(503) 297-7853
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7960
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD28977
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD28977
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056427
—
WA
05
—
500666674
—
OR
Enumeration date
09/20/2006
Last updated
01/15/2020
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