Individual
SORIN BILAUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
940 ROYAL AVE, SUITE 450, MEDFORD, OR 97504-6193
(541) 732-7850
(541) 732-7851
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7850
(541) 732-7851
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2824
AZ
363AS0400X
Surgical Physician Assistant
PA16759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
794819
AHCCCS
AZ
05
—
794819
—
AZ
01
—
AZ0145440
BCBS AZ
AZ
Enumeration date
06/21/2006
Last updated
10/08/2021
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