LOLA ACHILOVA

PROVIDENCE HEALTH AND SERVICES OREGON

Dr LOLA ACHILOVA is a female medical professional, specializing in Physician Assistant. She graduated in 2011.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

1003 PROVIDENCE DR
SUITE 210
NEWBERG
OR
971327523

Tel: 5035375900

LOLA ACHILOVA Information

Npi 1548546328
Pac Id 7911174461
Professional Enrollment Id I20120124000443
Last Name ACHILOVA
First Name LOLA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 1003 PROVIDENCE DR
Line 2 Street Address SUITE 210
Marker Of Address Line 2 Suppression
City NEWBERG
State OR
Zip Code 971327523
Phone Number 5035375900
Hospital Affiliation Ccn 1 380037
Hospital Affiliation Lbn 1 PROVIDENCE NEWBERG MEDICAL CENTER
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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