Achilova, Lola

Achilova, Lola is an individual health care provider with primary practice located at 1003 Providence Dr Suite 210, Newberg OR 97132-7521. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Achilova, Lola can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Suite 210 Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA156316 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA156316 Oregon

Profile Details

NPI number 1548546328
LBN Legal business name Achilova, Lola
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Nov 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548546328 NPPES
Oregon MEDICAID 500641265

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