Organization
BARRY PAUL KASSELS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY PAUL KASSELS M D (PRESIDENT)
(209) 484-4368
Entity
Organization
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(503) 372-2740
Mailing address
9600 SW NIMBUS AVE STE 200, BEAVERTON, OR 97008-7389
(503) 372-2740
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G78198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG781981
—
CA
Enumeration date
07/08/2009
Last updated
08/20/2024
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