Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dmitriy Viktorovich Vakulchik, PA

Individual provider Physician Assistant · NPI 1841144805

Mr. Dmitriy Viktorovich Vakulchik, PA is a Physician Assistant in Tigard, Oregon. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7300 SW Childs Rd Ste B
Tigard, OR 97224-7772
Phone: (503) 692-8700
Fax: (503) 692-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29345 Sw Town Center Loop E Ste 211, Wilsonville, OR 97070-8486 — (503) 692-8700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA227608 (OR)

Record details

NPI number1841144805
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 25, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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