| Mr Dmitriy Viktorovich Vakulchik, PA | |
|
7300 Sw Childs Rd Ste B, Tigard, OR 97224-7772 | |
| (503) 692-8700 | |
| (503) 692-8710 |
| Full Name | Mr Dmitriy Viktorovich Vakulchik |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 7300 Sw Childs Rd Ste B, Tigard, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841144805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA227608 (Oregon) | Primary |
| Entity Name | Oregon Sports Medicine Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713729 PECOS PAC ID: 1052306776 Enrollment ID: O20040420000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dmitriy Viktorovich Vakulchik, PA 7300 Sw Childs Rd Ste B, Tigard, OR 97224-7772 Ph: (503) 692-8700 | Mr Dmitriy Viktorovich Vakulchik, PA 7300 Sw Childs Rd Ste B, Tigard, OR 97224-7772 Ph: (503) 692-8700 |
Ana Cole, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18081 Sw Lower Boones Ferry Rd Ste 2, Tigard, OR 97224 Phone: 503-673-3893 |
Rayna Donnelly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 Phone: 503-620-5614 |
Madeline Kauffman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 |
Mrs. Hanna Lou Allwein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11958 Sw Garden Place, Tigard, OR 97223 Phone: 503-684-8252 Fax: 866-859-8195 |
Andrew David Bodmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 |
Charlotte Haws, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 |
Kenric Brion Craver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-216-0700 |