Bevilacqua, Michael Alan

Bevilacqua, Michael Alan is an individual health care provider with primary practice located at 25030 Sw Parkway Ave Ste 200 , Wilsonville OR 97070-9816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bevilacqua, Michael Alan can be contacted via phone (503) 612-0498.

Contact Information

Primary practice address
25030 Sw Parkway Ave Ste 200 Wilsonville OR 97070-9816
Phone: (503) 612-0498
Fax: (503) 459-0521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0000053944 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD0000053944 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD194533 Oregon

Profile Details

NPI number 1609210632
LBN Legal business name Bevilacqua, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated May 7th, 2020 - about 4 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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