| Lola Achilova, PA-C | |
| 
					3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011  | |
| (503) 418-4500 | |
| (503) 494-1678 | 
| Full Name | Lola Achilova | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548546328 | NPI | - | NPPES | 
| 500641265 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA156316 (Oregon) | Primary | 
| 363A00000X | Physician Assistant | PA156316 (Oregon) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lola Achilova, PA-C 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855  | Lola Achilova, PA-C 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 418-4500  | 
James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708  | |
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067  | |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000  | |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613  | |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910  | |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110  | |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670  |