Individual
LISA MICHELLE BASSILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9990
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35579
AZ
207L00000X
Anesthesiology Physician
M5045
TX
207L00000X
Anesthesiology Physician
Primary
MD178245
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500717456
—
OR
01
—
8DR091
BCBS OF TEXAS
TX
Enumeration date
07/02/2006
Last updated
10/10/2018
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