| Mr Donald Patrick Lilak, PAC | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-8991 | |
| Not Available |
| Full Name | Mr Donald Patrick Lilak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| 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 |
|---|---|---|---|
| 1659324564 | NPI | - | NPPES |
| 1065334 | Other | MI | NCCPA CERTIFICATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (NU) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald Patrick Lilak, PAC 6403 Coyle Ave, Ste 170, Carmichael, CA 95608-0311 Ph: (916) 965-4000 | Mr Donald Patrick Lilak, PAC 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8991 |
James Francis Deitle, PA-C Physician Assistant Medicare: Medicare Enrolled 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 |
Samuel Bryan Valdivia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St Medical Office Building 2, Suite 220, Portland, OR 97227 Phone: 503-413-6200 |