Individual
DR. RANDALL C. BISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD17750
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044664
—
OR
01
—
050041458
RR MEDICARE
OR
05
—
8138612
—
WA
Enumeration date
02/14/2006
Last updated
11/20/2023
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