MICHAEL ALAN BEVILACQUA M.D.
Individual Provider (NPI-1)
Active
Radiology, Vascular & Interventional Radiology
Provider Information
- NPI Number
1609210632- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 25030 SW PARKWAY AVE STE 200, WILSONVILLE, OR, 970709816
- Phone
- (503) 612-0498
- Fax
- (503) 459-0521
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: TN #MD0000053944
Radiology, Vascular & Interventional Radiology
License: TN #MD0000053944
Radiology, Vascular & Interventional Radiology
Primary License: OR #MD194533