Michael Alan Bevilacqua, MD
Michael Alan Bevilacqua, MD is an Interventional Radiology in Wilsonville, Oregon. Qualified in 2013, 13 years ago. Practices with Physicians of Cape Cod Hospital, a 327-clinician group and accepts Medicare assignment. Licensed in Oregon and Tennessee.
- Years since qualifying
- 13
- Licensed in
- OR, TN
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
25030 SW Parkway Ave Ste 200Wilsonville, OR 97070-9816
Phone: (503) 612-0498
Fax: (503) 459-0521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X · Licence MD194533 (OR) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence MD0000053944 (TN) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence MD0000053944 (TN) |
Record details
| NPI number | 1609210632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 22, 2013 |
| Last updated in NPPES | May 7, 2020 |
| Certification date | May 7, 2020 |
| Mailing address | 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Physicians Of Cape Cod Hospital — 327 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Wilsonville
-
Dr. Jason Richard Bauer, MD
25030 SW Parkway Ave Ste 200, Wilsonville, OR 97070-9816 · (503) 612-0498
-
Alex Park
25030 SW Parkway Ave Ste 200, Wilsonville, OR 97070-9816 · (971) 434-0080