JEFFREY P PAVELKA DO

PROVIDENCE HEALTH AND SERVICES OREGON

Dr JEFFREY P PAVELKA DO is a male medical professional, specializing in General Practice. He graduated in 1994 from Chicago College Of Osteopathy.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

JEFFREY P PAVELKA DO Information

Npi 1447218318
Pac Id 8628086378
Professional Enrollment Id I20081124000225
Last Name PAVELKA
First Name JEFFREY
Middle Name P
Suffix
Gender M
Credential DO
Medical School Name CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year 1994
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1 FAMILY MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties FAMILY MEDICINE
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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