IndividualActive
Michael Bevilacqua, M.D.
NPI 1609210632 · Vascular & Interventional Radiology Physician · Wilsonville, OR
Provider details
- NPI number
- 1609210632
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD0000053944 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
25030 Sw Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone: (503) 612-0498
Fax: (503) 459-0521
Approximate (ZIP-level) locationGet directions
Mailing address
25030 Sw Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.