Individual provider · Type 1 NPI

Michael Alan Bevilacqua, MD

Vascular & Interventional Radiology Physician · Wilsonville, OR

NPI number 1609210632 Active

Practice location

25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816

Fax (503) 459-0521

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD0000053944 (TN)
Vascular & Interventional Radiology Physician 2085R0204XMD0000053944 (TN)
Vascular & Interventional Radiology Physician Primary 2085R0204XMD194533 (OR)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1609210632

Michael Alan Bevilacqua, MD's National Provider Identifier is 1609210632, issued on Apr 22, 2013. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Wilsonville, OR. The record was last updated on May 7, 2020.