Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL ALAN BEVILACQUA, M.D.
ActiveMICHAEL ALAN BEVILACQUA, M.D. is a Therapeutic Radiology healthcare provider located in WILSONVILLE, Oregon. NPI 1609210632 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · WILSONVILLE, OR
Registration Details
- NPI Number
- 1609210632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2013 (13.340284803696 yrs)
- Last Updated
- May 7, 2020
- Licenses
-
MD0000053944 (TN)MD0000053944 (TN)MD194533 (OR)
Practice Information
- Address
-
25030 SW PARKWAY AVE STE 200WILSONVILLE, OR, 970709816Browse OR providers · Browse ZIP 97070
- Phone
- 5036120498
- Fax
- 5034590521
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in WILSONVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JASON RICHARD BAUER | MD | 1326029950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.